Healthcare Provider Details

I. General information

NPI: 1457015430
Provider Name (Legal Business Name): DR JOHN HELMER PSYCHOLOGIST APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 JACKSON DR STE 220-C
LA MESA CA
91942-6002
US

IV. Provider business mailing address

5360 JACKSON DR STE 220-C
LA MESA CA
91942-6002
US

V. Phone/Fax

Practice location:
  • Phone: 619-439-8479
  • Fax: 619-916-2457
Mailing address:
  • Phone: 619-439-8479
  • Fax: 619-916-2457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN HELMER
Title or Position: PRESIDENT
Credential: PSYD, LCSW
Phone: 619-439-8479