MEDICARE: DR. JANET RICCI ELKUN PSY.D.

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
1	103T00000X	Psychologist	PSY35992	CA
2	103TC0700X	Clinical Psychologist	PSY35992	CA

General Provider Information

NPI Number	:	1487546032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET RICCI ELKUN PSY.D.

Provider Business Mailing Address
First Line	:	340 JAMES ST
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92027-5316
Country	:	US
Telephone Number	:	858-405-5822
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 CAMINO DEL RIO S STE 310
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3560
Country	:	US
Telephone Number	:	877-404-1967
Fax Number	:	619-810-0383

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	07/20/2025

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