Joanna K Elrick

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-XLWJDP Issued in CA

Practice address

3594 4TH Ave
San Diego, CA 92103-4940

Phone

(619) 296-1151

NPI assigned

Oct 24, 2024

Last updated

Oct 24, 2024By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

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.

• Crossroads Foundation

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1881819621
  NPD (past)

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1063234730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ELM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012602",
            "telephone_number": "619-418-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034940",
            "telephone_number": "619-296-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELRICK",
        "first_name": "JOANNA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-XLWJDP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elias Elmouttaqi
• Khaled Elnaggar
• Mohamed Bassyounyaboueleinin Elnaggar, MD
• Eloise R. Johnston & Associates (Laurie Silverman & Associates)
• Eloise V. Foster, PH.D.
• Reham Elsayed
• Brooke Mehgan Elsberry
• Anayahgrace Eve Elsen, AS
• Micaela Rose Elshazly, M.S., OTR/L
• Haley Elshimy

• Peer Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.