Organization Active NPI

Latitude Telehealth Services LLC

  • Adult Mental Health Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1053999169
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LATITUDE TELEHEALTH SERVICES LLC
Practice address
560 Carlsbad Village Dr
Carlsbad, CA 92008-2391
Phone
(760) 808-2504
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
John Sharpe
Title
President
Phone
(949) 600-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

560 Carlsbad Village Dr
Carlsbad, CA 92008-2391

Mailing address

560 Carlsbad Village Dr
Carlsbad, CA 92008-2391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1053999169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CARLSBAD VILLAGE DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CARLSBAD VILLAGE DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082391",
            "telephone_number": "760-808-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATITUDE TELEHEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-600-3630"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.