Provider Demographics
NPI:1487546032
Name:RICCI ELKUN, JANET (PSYD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:RICCI ELKUN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:RICCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:340 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-5316
Mailing Address - Country:US
Mailing Address - Phone:858-405-5822
Mailing Address - Fax:
Practice Address - Street 1:409 CAMINO DEL RIO S STE 310
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3560
Practice Address - Country:US
Practice Address - Phone:877-404-1967
Practice Address - Fax:619-810-0383
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY35992103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist