DR. JAN STEPHEN CAVANAUGH (PHD) – Clinical Psychologist, NPI 1629005681

DR. JAN STEPHEN CAVANAUGH (PHD) is a healthcare provider. based in San diego, California. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. B1-0000713 (DE). The NPI Number for DR. JAN STEPHEN CAVANAUGH (PHD) is 1629005681

Main info

Male
Name
DR. JAN STEPHEN CAVANAUGH (PHD)
NPI
1629005681
Phone
(800) 257-8715
Address
4715 VIEWRIDGE AVE
Enumeration Date
27 June 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JAN STEPHEN CAVANAUGH (PHD)

  • 4715, Viewridge Avenue, San Diego, San Diego County, California, 92123, United States

    STE 230

    SAN DIEGO, CA 921231680

    Phone: (800) 257-8715

    Fax: (800) 819-1655

    Type: Mailing

  • 840, South Broom Street, St. Elizabeth Area, Wilmington, New Castle County, Delaware, 19805, United States

    WILMINGTON, DE 198054245

    Phone: (800) 819-1655

    Fax: (800) 819-1655

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92123)

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Reviews

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Frequently asked questions

Is DR. JAN STEPHEN CAVANAUGH (PHD) listed with a National Provider Identifier?
Yes — DR. JAN STEPHEN CAVANAUGH (PHD) has NPI 1629005681 on file in the registry.
Active or inactive — what applies to DR. JAN STEPHEN CAVANAUGH (PHD)?
You should see DR. JAN STEPHEN CAVANAUGH (PHD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. JAN STEPHEN CAVANAUGH (PHD)?
DR. JAN STEPHEN CAVANAUGH (PHD)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. JAN STEPHEN CAVANAUGH (PHD) located near San Diego?
DR. JAN STEPHEN CAVANAUGH (PHD) currently maps to San Diego, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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