Organization Active NPI

Ucsd Dept. of Psychiatry

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1083863559
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UCSD DEPT. OF PSYCHIATRY
Practice address
140 Arbor Dr # Mc0851
San Diego, CA 92103-2007
Phone
(619) 497-6647
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Roseann Larson, M.S.W.
Title
Associate Clinical Social Worker
Phone
(619) 497-6653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

140 Arbor Dr # Mc0851
San Diego, CA 92103-2007

Mailing address

140 Arbor Dr # Mc0851
San Diego, CA 92103-2007
Phone (619) 497-6647

National Provider Directory

National Provider Directory
Tax ID family
Ucsd Medical Associates27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

140 Arbor Dr
#851
San Diego, CA 92103
Phone (619) 543-6140

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1083863559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ARBOR DR # MC0851",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032007",
            "telephone_number": "619-497-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ARBOR DR # MC0851",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032007",
            "telephone_number": "619-497-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSD DEPT. OF PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_title_or_position": "ASSOCIATE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "619-497-6653",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Sep 9, 2008; 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.