Mary Ann Offenheiser, CNS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

2458 Issued in CA

Practice address

30240 Rancho Viejo Rd Ste C1
San Juan Capistrano, CA 92675-1515

Phone

(949) 374-9245

Fax

(949) 751-2432

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunbridge Psych

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • San Juan Capistrano, CA
  • NPI 1376057802
  NPD Authorized official
• Laguna Family Health Center, a Nursing Corporation

  • Psychiatry Physician
  • Laguna Beach, CA
  • NPI 1609166099
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1053406025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ENTORNO ST",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926941374",
            "telephone_number": "949-374-9245",
            "fax_number": "949-751-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30240 RANCHO VIEJO RD STE C1",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751515",
            "telephone_number": "949-374-9245",
            "fax_number": "949-751-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Entorno St",
            "address_purpose": "LOCATION",
            "city": "Rancho Mission Viejo",
            "state": "CA",
            "postal_code": "926941374",
            "country_code": "US",
            "telephone_number": "949-374-9245",
            "fax_number": "949-751-2432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFFENHEISER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrition Care Plus
• Robert John Oakes III
• Oc Pharmacy
• Ocean Hills Recovery Inc.
• Ocean Hills Recovery Inc.
• Micah Gregory Kai Ohlen, ATC
• Nafia Dawn Ohler, R.A.D.I.
• Kyle Jordan Olandt, DPT
• Olina E. Harwer, M.D., Inc. (Partners In Health)
• Taylor M Olsen, DDS, MSD

• Psychiatric/Mental Health Clinical Nurse Specialist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.