Active NPI
Open Mind Mental Health Physicians, Inc.
Doing business as Open Mind Health
- Clinical Social Worker
- La Jolla, CA
National Provider Identifier
1093454423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- OPEN MIND MENTAL HEALTH PHYSICIANS, INC.
- Doing business as
- Open Mind Health
- Practice address
- 3252 Holiday CT Ste 204
La Jolla, CA 92037-1808 - Phone
- (855) 550-6463
- Fax
- (833) 343-2244
- NPI assigned
- Jun 2, 2022
- Last updated
- Jul 2, 2026
- 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
- Kerry D Kozuki
- Title
- Chief Operating Officer
- Phone
- (980) 224-0959
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
3252 Holiday CT Ste 204
La Jolla, CA 92037-1808
Mailing address
PO Box 1429
Salisbury, NC 28145-1429
Phone (206) 724-1722
Other practice location 1
715 Peachtree St NE Ste 100
Atlanta, GA 30308-2179
Phone (855) 550-6463
Other practice location 2
2011 P St Fl 2
Sacramento, CA 95811-5225
Phone (855) 550-6463
Other practice location 3
4000 Faber Place Dr Ste 300
Charleston, SC 29405-8587
Phone (855) 550-6463
Other practice location 4
5101 Santa Monica Blvd # 800
Los Angeles, CA 90029-2478
Phone (855) 550-6463
Other practice location 5
322 N Shore Dr Bldg 1B
Pittsburgh, PA 15212-5875
Phone (855) 550-6463
Other practice location 6
1200 G St NW Ste 800
Washington, DC 20005-6705
Phone (855) 550-6463
Other practice location 7
2 N Central Ave Fl 18
Phoenix, AZ 85004-2322
Phone (855) 550-6463
Other practice location 8
111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Phone (855) 550-6463
Other practice location 9
1626 Locust St
Philadelphia, PA 19103-6305
Phone (855) 550-6463
Other practice location 10
221 River St Ste 9
Hoboken, NJ 07030-5990
Phone (855) 550-6463
Other practice location 11
205 Hudson St
New York, NY 10013-1803
Phone (855) 550-6463
Other practice location 12
6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500
Phone (855) 550-6463
Other practice location 13
680 E Colorado Blvd Ste And2nd
Pasadena, CA 91101-6143
Phone (855) 550-6463
Other practice location 14
1455 NW Leary Way Ste 400
Seattle, WA 98107-5138
Phone (855) 550-6463
Other practice location 15
120 E Innes St
Salisbury, NC 28144-5008
Phone (855) 550-6463
Other practice location 16
95 3rd St
San Francisco, CA 94103-3103
Phone (855) 550-6463
Other practice location 17
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Phone (855) 550-6463
Other practice location 18
8401 Mayland Dr Ste A
Henrico, VA 23294-4648
Phone (855) 550-6463
Other practice location 19
145 W Ostend St Ste 600
Baltimore, MD 21230-3774
Phone (855) 550-6463
Other names 1
- Open Mind Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CA, TX, MD, DC, NC, WA, NY
Enrollment records 8
National Provider Directory
National Provider DirectoryLocations
3252 Holiday Ct
Ste 204
La Jolla, CA 92037
Phone (858) 558-4700
680 E Colorado Blvd
Ste AND2ND
Pasadena, CA 91101
4000 Faber Place Dr
Ste 300
North Charleston, SC 29405
Phone (704) 956-3062
Practitioners & affiliated clinicians
Practitioners 33
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- West Hollywood, CA
- NPI 1598373326
-
- Clinical Social Worker
- Bakersfield, CA
- NPI 1982196226
-
- Marriage & Family Therapist
- Santa Clara, CA
- NPI 1417236647
-
- Marriage & Family Therapist
- Modesto, CA
- NPI 1780041335
-
- Clinical Social Worker
- San Jose, CA
- NPI 1023451069
-
- Marriage & Family Therapist
- Pleasant Hill, CA
- NPI 1225463029
Mental Health
-
- Marriage & Family Therapist
- San Leandro, CA
- NPI 1467589275
-
- Addiction (Substance Use Disorder) Counselor
- Napa, CA
- NPI 1801458138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782950400000",
"number": "1093454423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1429",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281451429",
"telephone_number": "206-724-1722",
"fax_number": "833-453-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3252 HOLIDAY CT STE 204",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371808",
"telephone_number": "855-550-6463",
"fax_number": "833-343-2244"
}
],
"practiceLocations": [
{
"address_1": "715 Peachtree St NE Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303082179",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2011 P St Fl 2",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958115225",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Faber Place Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294058587",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5101 Santa Monica Blvd # 800",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900292478",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "322 N Shore Dr Bldg 1B",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152125875",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 G St NW Ste 800",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200056705",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 N Central Ave Fl 18",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850042322",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 W Jackson Blvd Ste 1700",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606043597",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1626 Locust St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191036305",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 River St Ste 9",
"address_purpose": "LOCATION",
"city": "Hoboken",
"state": "NJ",
"postal_code": "070305990",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 Hudson St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100131803",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6701 Democracy Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208177500",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 E Colorado Blvd Ste And2nd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911016143",
"country_code": "US",
"telephone_number": "855-550-6463",
"fax_number": "833-453-0569",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1455 NW Leary Way Ste 400",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981075138",
"country_code": "US",
"telephone_number": "855-550-6463",
"fax_number": "833-453-0569",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 E Innes St",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281445008",
"country_code": "US",
"telephone_number": "855-550-6463",
"fax_number": "833-453-0569",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95 3rd St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941033103",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2021 Guadalupe St Ste 260",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787055654",
"country_code": "US",
"telephone_number": "855-550-6463",
"fax_number": "833-453-0569",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8401 Mayland Dr Ste A",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232944648",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 W Ostend St Ste 600",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212303774",
"country_code": "US",
"telephone_number": "855-550-6463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OPEN MIND MENTAL HEALTH PHYSICIANS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-02",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A",
"authorized_official_last_name": "KOZUKI",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "980-224-0959"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Open Mind Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.