NPIMap

Organization Active NPI

The Steven a. Cohen Military Family Clinic at VVSD, San Diego

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
National Provider Identifier
1053022772
Registry record updated Dec 13, 2022
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
THE STEVEN A. COHEN MILITARY FAMILY CLINIC AT VVSD, SAN DIEGO
Practice address
8885 Rio San Diego Dr Ste 301
San Diego, CA 92108-1610
Phone
(619) 345-4611
NPI assigned
Dec 13, 2022
Last updated
Dec 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
VIETNAM VETERANS OF SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Alyssa Retuya
Title
Business Office Manager
Phone
(619) 840-0734

Specialties & licenses 1

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

Addresses

Primary practice location

8885 Rio San Diego Dr Ste 301
San Diego, CA 92108-1610

Mailing address

8885 Rio San Diego Dr Ste 301
San Diego, CA 92108-1610
Phone (619) 345-4611

National Provider Directory

National Provider Directory
Tax ID family
The Steven a Cohen Military Family Clinic at VVSD Oceanside4 organizations share this tax ID, including this one
Part of
The Steven a Cohen Military Family Clinic at VVSD Oceanside

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8885 Rio San Diego Dr
Ste 301
San Diego, CA 92108
Phone (619) 345-4611

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1053022772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081610",
            "telephone_number": "619-345-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081610",
            "telephone_number": "619-345-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STEVEN A. COHEN MILITARY FAMILY CLINIC AT VVSD, SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIETNAM VETERANS OF SAN DIEGO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "RETUYA",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "619-840-0734"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "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 Dec 13, 2022; 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.