Healthcare Provider Details

I. General information

NPI: 1508996745
Provider Name (Legal Business Name): JAINIE BEHLING PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4909 MURPHY CANYON RD STE 510
SAN DIEGO CA
92123-4301
US

IV. Provider business mailing address

4909 MURPHY CANYON RD STE 510
SAN DIEGO CA
92123-4301
US

V. Phone/Fax

Practice location:
  • Phone: 877-815-8845
  • Fax: 833-282-1430
Mailing address:
  • Phone: 877-815-8845
  • Fax: 833-282-1430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY36401
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: