Healthcare Provider Details

I. General information

NPI: 1982254397
Provider Name (Legal Business Name): PRACTICE OF BEING HUMAN PSYCHOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 GARNET AVE STE 305
SAN DIEGO CA
92109-3771
US

IV. Provider business mailing address

2204 GARNET AVE STE 305
SAN DIEGO CA
92109-3771
US

V. Phone/Fax

Practice location:
  • Phone: 858-255-1658
  • Fax: 833-536-2427
Mailing address:
  • Phone: 858-255-1658
  • Fax: 833-536-2427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TREVOR JAMES OLSON
Title or Position: OWNER/CHIEF PSYCHOLOGIST
Credential: PSY.D.
Phone: 858-945-7421