Provider Demographics
NPI:1215596846
Name:WITHIN SIGHT PSYCHOLOGICAL AND INTEGRATED SOLUTIONS, INC
Entity type:Organization
Organization Name:WITHIN SIGHT PSYCHOLOGICAL AND INTEGRATED SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:FANALE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-442-3882
Mailing Address - Street 1:3960 W POINT LOMA BLVD. STE H #56720
Mailing Address - Street 2:STE H #56720
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5252 BALBOA AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-6906
Practice Address - Country:US
Practice Address - Phone:858-366-7973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health