Restore Psychology A Professional Corporation
NPI 1154176295ActiveOrganization· Psychologist, Counseling· San Diego, CA
Psychologist, Counseling in San Diego, California, registered in NPPES in April 2024. The authorized official on file is Jacob Ambrose, PHD, President.
Overview
| NPI | 1154176295 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 22, 2024 |
| Last updated in NPPES | Feb 16, 2025 |
| Certified by provider | Feb 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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