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General NPI Number Information
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NPI Number | 1770473555
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Entity Type | Organization
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Legal Business Name | PINOVER PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 920 MARTINEZ ST
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City | SAN DIEGO
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State | CA
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Zip | 92106-2929
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Country | US
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Telephone | 215-694-3442
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 ROSECRANS ST STE 104 PMB #197
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City | SAN DIEGO
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State | CA
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Zip | 92106
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MICHAEL PINOVER
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Credential | PSY.D.
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Telephone | 619-361-1154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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