Organization Active NPI

Neural Science Institute Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
National Provider Identifier
1104638162
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEURAL SCIENCE INSTITUTE INC.
Practice address
11189 Sorrento Valley Rd
San Diego, CA 92121-1341
Phone
(702) 659-6707
NPI assigned
Jan 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Mr. Johnny Miller
Title
Ceo
Phone
(702) 659-6707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

11189 Sorrento Valley Rd
San Diego, CA 92121-1341

Mailing address

1355 La Palma St
San Diego, CA 92109-5202
Phone (858) 967-1777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1104638162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 LA PALMA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095202",
            "telephone_number": "858-967-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11189 SORRENTO VALLEY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211341",
            "telephone_number": "702-659-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURAL SCIENCE INSTITUTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-659-6707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Feb 4, 2025; 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.