International Center for Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

A88348 Issued in CA

Legal business name

INTERNATIONAL CENTER FOR BEHAVIORAL HEALTH

Practice address

3252 Holiday CT
Ste 108
La Jolla, CA 92037-0027

Phone

(858) 729-4668

NPI assigned

Apr 18, 2010

Last updated

Apr 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dmitriy SivtsovNPI 1467553958

Title

Director

Phone

(858) 729-4770

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dmitriy Sivtsov, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1467553958
  NPD (past) Authorized official

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

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271548800000",
    "number": "1043536998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 CAMINITO CASSIS",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT",
            "address_2": "STE 108",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370027",
            "telephone_number": "858-729-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL CENTER FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-18",
        "last_updated": "2010-04-18",
        "status": "A",
        "authorized_official_last_name": "SIVTSOV",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-729-4770"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "A88348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Owen Inge
• Hannah Marie Ingersoll, MSW
• Henry G. Ingersoll, M.D.
• Integral Medical Group, Inc.
• Integrative Cardiovascular Center of la Jolla
• Intrinsic Life Sciences
• Jillian Inumerable, ATC
• Rama Inza, LMT
• Irene Nosrati, DDS, and Erez Nosrati, DMD, Inc.
• Heidi H Irwin, MSN

• Community/Behavioral Health Agency in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2010; 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.