Healthcare Provider Details

I. General information

NPI: 1265247720
Provider Name (Legal Business Name): ASSIST PERFORMANCE & PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 DALE ST
SAN DIEGO CA
92102-1518
US

IV. Provider business mailing address

1545 DALE ST
SAN DIEGO CA
92102-1518
US

V. Phone/Fax

Practice location:
  • Phone: 858-531-6689
  • Fax:
Mailing address:
  • Phone: 858-531-6689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DANA LEIGH SCHMIDT
Title or Position: PRESIDENT/CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 858-531-6689