Active NPI
Advanced Psychiatric Wellness, a Nursing Corporation
- Psychiatric/Mental Health Nurse Practitioner
- Poway, CA
National Provider Identifier
1093436784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ADVANCED PSYCHIATRIC WELLNESS, A NURSING CORPORATION
- Practice address
- 14505 Scarboro St
Poway, CA 92064-5947 - Phone
- (858) 761-8731
- NPI assigned
- Sep 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy L Butler, APRN
- Title
- Director
- Phone
- (858) 761-8731
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
14505 Scarboro St
Poway, CA 92064-5947
Mailing address
11160 Rancho Carmel Dr # 1041
San Diego, CA 92128-4672
Phone (858) 504-2308
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | spruce.care/advancedpsychiatricwellness | Direct |
National Provider Directory
National Provider DirectoryLocations
11160 Rancho Carmel Dr
#1041
San Diego, CA 92128
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- San Diego, CA
- NPI 1144645094
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662681600000",
"number": "1093436784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11160 RANCHO CARMEL DR # 1041",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284672",
"telephone_number": "858-504-2308",
"fax_number": "858-366-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14505 SCARBORO ST",
"city": "POWAY",
"state": "CA",
"postal_code": "920645947",
"telephone_number": "858-761-8731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PSYCHIATRIC WELLNESS, A NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "858-761-8731",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "spruce.care/advancedpsychiatricwellness",
"affiliation": "N",
"endpointDescription": "Spruce Link URL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "documents",
"address_1": "11160 Rancho Carmel Dr # 1041",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921284672",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.