Kalyan Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KALYAN MENTAL HEALTH

Practice address

10655 Calle Mar de Mariposa Apt 4201
San Diego, CA 92130-8725

Phone

(540) 818-1687

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Nicholas Ptacek

Title

Director

Phone

(540) 818-1687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1194327593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10655 CALLE MAR DE MARIPOSA APT 4201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921308725",
            "telephone_number": "540-818-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 CALLE MAR DE MARIPOSA APT 4201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921308725",
            "telephone_number": "540-818-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALYAN MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "PTACEK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-818-1687"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eleanor Kalter-Margolin, M.A. CCC
• Kenneth Carekin Kalunian, MD
• Justus Hung-Ching Kam, M.D.
• Tracy Kam, D.O.
• Kamali Dental Corporation
• Amir Kamali, DDS
• Sharifeh Kamalimotlagh, MD

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.