Compass Family Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COMPASS FAMILY CENTER

Doing business as

Intricate Mind Institute

Practice address

444 Camino del Rio S
Suite # 106
San Diego, CA 92108-3510

Phone

(619) 446-6936

Fax

(619) 446-6532

NPI assigned

Feb 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary J Baker-Ericzen, PH.D.

Title

Director, Intricate Mind Institute

Phone

(616) 446-6936

Specialties & licenses 6

Addresses

Other names 1

• Intricate Mind Institute Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1013214394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 CAMINO DEL RIO S",
            "address_2": "SUITE # 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083510",
            "telephone_number": "619-446-6936",
            "fax_number": "619-446-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 CAMINO DEL RIO S",
            "address_2": "SUITE # 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083510",
            "telephone_number": "619-446-6936",
            "fax_number": "619-446-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "BAKER-ERICZEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR, INTRICATE MIND INSTITUTE",
        "authorized_official_telephone_number": "616-446-6936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intricate Mind Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Wellbeing San Diego
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• Compass Dermatopathology, Inc. (SkyMD)
• Compass Family Therapy Services
• Compass Prime Health Nursing, Inc.
• Compassionate Behavioral Health Services
• Compassionate in-Home Care LLC (Compassionate In-Home Care)
• Compassionate Palliative Care, Inc.

• Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.