Mental Health Association in San Diego County

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

MENTAL HEALTH ASSOCIATION IN SAN DIEGO COUNTY

Doing business as

Mental Health America of San Diego County

Practice address

4069 30TH St
San Diego, CA 92104-2601

Phone

(619) 543-0412

Fax

(619) 285-8185

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By 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

Daphyne Watson, MSW

Title

Executive Director

Phone

(619) 543-0412

Specialties & licenses 1

Addresses

Other names 1

• Mental Health America of San Diego County Doing business as

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1063122323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4069 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042601",
            "telephone_number": "619-543-0412",
            "fax_number": "619-285-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4069 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042601",
            "telephone_number": "619-543-0412",
            "fax_number": "619-285-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION IN SAN DIEGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DAPHYNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-543-0412",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health America of San Diego County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derick Mensah, CRNP
• James Robert Mensen, PHARM.D.
• Heather Menser, RN
• Miguel D Menta
• Mental Health 365
• Mental Health Center of San Diego
• Mental Health Center of San Diego
• Mental Health Center of San Diego
• Mental Health Center of San Diego
• Mental Health Center of San Diego

• Community Health Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.