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NPI Code Detail

MEDICARE: APPLIED INTERVENTIONS & METHODOLOGIES, INC.

MEDICARE: APPLIED INTERVENTIONS & METHODOLOGIES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training AgencyPSY18351CA
2251S00000XCommunity/Behavioral Health AgencyPSY18351CA
3251300000XLocal Education Agency (LEA)PSY18351CA

General Provider Information

NPI Number : 1265633689
Entity Type Code : Organization
Provider Name (Legal Business Name) : APPLIED INTERVENTIONS & METHODOLOGIES, INC.
Provider Business Mailing Address
First Line : 6540 LUSK BLVD STE C256
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-5795
Country : US
Telephone Number : 858-657-9117
Fax Number :
Provider Business Practice Location Address
First Line : 6540 LUSK BLVD STE C256
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-5795
Country : US
Telephone Number : 858-657-9117
Fax Number :
Authorized Official
Title or Position : CLINICAL PSYCHOLOGIST, DIRECTOR
Name : DR. SANDY SHAW
Credential : PH.D.
Telephone Number : 858-492-8511
Provider Enumeration Date : 05/31/2007
Last Update Date : 09/11/2025

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Directions to “APPLIED INTERVENTIONS & METHODOLOGIES, INC. ” Practice Location

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