Provider Demographics
NPI:1376343947
Name:AIELLO PSYCHOLOGICAL SERVICES, INC.
Entity type:Organization
Organization Name:AIELLO PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:AIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:858-349-5901
Mailing Address - Street 1:6452 CARDENO DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-6929
Mailing Address - Country:US
Mailing Address - Phone:858-349-5901
Mailing Address - Fax:
Practice Address - Street 1:7855 IVANHOE AVE STE 460
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4510
Practice Address - Country:US
Practice Address - Phone:858-247-1509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty