Organization Active NPI

Duality Within

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
National Provider Identifier
1043137805
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DUALITY WITHIN
Practice address
4420 Hotel Circle CT Ste 300
San Diego, CA 92108-3424
Phone
(000) 000-0000
NPI assigned
Jul 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Miriah M Bozeman, LCSW
Title
LCSW
Phone
(334) 498-0761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4420 Hotel Circle CT Ste 300
San Diego, CA 92108-3424

Mailing address

4420 Hotel Circle CT Ste 300
San Diego, CA 92108-3424
Phone (000) 000-0000

National Provider Directory

National Provider Directory

Locations

11189 Sorrento Valley Rd
San Diego, CA 92121
Phone (702) 659-6707

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1043137805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 HOTEL CIRCLE CT STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083424",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 HOTEL CIRCLE CT STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083424",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUALITY WITHIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "BOZEMAN",
        "authorized_official_first_name": "MIRIAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "334-498-0761",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.