Pacific Coast Psychiatric Associates, Inc.
Community/Behavioral Health

Address: 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583
Phone: 8582791223

Pacific Coast Psychiatric Associates, Inc. (NPI# 1063044410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1063044410
Entity Type Organization
Organization Name PACIFIC COAST PSYCHIATRIC ASSOCIATES, INC.
Practice Address 4550 Kearny Villa Rd Ste 116
San Diego
CA 92123-1583
Practice Telephone 8582791223
Mailing Address 490 Post St Ste 1043
San Francisco
CA 94102-1301
Mailing Telephone 9252314325
Authorized Official Name Anisha Patel-dunn (CEO)
Authorized Official Telephone 4154090944
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-02-04
Last Update Date 2020-02-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities
No 261QM0855X Clinic/Center · Adolescent and Children Mental Health Ambulatory Health Care Facilities
Yes 251S00000X Community/Behavioral Health Agencies

Secondary Practice Locations

Address Telephone Number Fax Number
3609 Ocean Ranch Blvd Ste 208, Oceanside, CA 920562698 8582791223
2452 Fenton St Ste 202, Chula Vista, CA 919144551 8582791223
15611 Pomerado Rd Ste 535, Poway, CA 920642437 8582791223
6386 Alvarado Ct Ste 210, San Diego, CA 921204907 8582791223
12264 El Camino Real Ste 203, San Diego, CA 921303061 8582791223
31573 Rancho Pueblo Rd Ste 200, Temecula, CA 925924835 8582791223
300 Rancheros Dr Ste 130, San Marcos, CA 920692968 8582791223

Providers with the same name

NPI Name Taxonomy Address Enumeration
1023125465 Pacific Coast Psychiatric Associates, Inc. Psychiatry & Neurology 490 Post St Ste 1043, San Francisco, CA 94102-1301 2006-08-23

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285236422 Blooming Behavior Services Community/Behavioral Health 134 W Walnut Ave Unit D, San Diego, CA 92103-4880 2020-11-12
1194327593 Kalyan Mental Health Community/Behavioral Health 10655 Calle Mar De Mariposa Apt 4201, San Diego, CA 92130-8725 2020-11-10
1134729718 Cynthia Felicia Delaney Community/Behavioral Health 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 2020-10-31
1902426018 Clayton Counseling Licensed Clinical Social Worker Inc. Community/Behavioral Health 2180 Garnet Ave Ste 2e, San Diego, CA 92109-3675 2020-04-17
1679113765 Kristina Copley Marriage and Family Therapy, Inc Community/Behavioral Health 1267 Rosecrans St Ste B, San Diego, CA 92106-2692 2020-01-07
1417598319 Open Heart Leaders Community/Behavioral Health 1913 Euclid Ave Ste 108, San Diego, CA 92105-5360 2019-10-01
1710531405 Katherine Raftery Community/Behavioral Health 3570 Granada Ave, San Diego, CA 92104-4145 2019-07-31
1063064509 Abigail Frances Swan Community/Behavioral Health 3376 Grim Ave Apt 3, San Diego, CA 92104-4650 2019-07-15
1548726862 Unscripted Learning Community/Behavioral Health 3717 India St, San Diego, CA 92103-3727 2019-02-11
1356806509 Vista Hill Foundation Community/Behavioral Health 8825 Aero Drive, Suite 315, San Diego, CA 92123-1104 2019-02-01
Find all providers in SAN DIEGO

Office Location

Street Address 4550 KEARNY VILLA RD STE 116
City SAN DIEGO
State CA
Zip Code 92123-1583

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801811104 Raphael Adam Morris Psychiatry & Neurology 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2006-07-13
1760986947 Robin Lee Anderson Marriage & Family Therapist 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2018-03-21
1184133431 Desiree Brittain Marriage & Family Therapist 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2017-09-28
1053773986 Lori Krueger Marriage & Family Therapist 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2016-03-21
1538538582 Melanie Dawson Marriage & Family Therapist 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2015-09-21
1407285356 Debra Benaderet Social Worker 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2013-11-01
1053665182 Henry Soron Petersen Social Worker 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2012-10-26
1225306590 Kelly Cohen Marriage & Family Therapist 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2011-12-01
1821377433 Debra Berl Social Worker 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2011-08-12
1437394046 Robyn Firtel Marriage & Family Therapist 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 2008-12-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669075339 Lynette Rivers Psychologist 2901 Meadow Lark Drive, San Diego, CA 92123 2020-11-17
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
Find all providers in zip 92123

Competitor

Search similar providers

City SAN DIEGO
Zip Code 92123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.