Individual provider Active NPI

Emily Suzanne Econie, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1295327112
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95020054 Issued in CA
Practice address
6386 Alvarado CT Ste 210
San Diego, CA 92120-4907
Phone
(858) 279-1223
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 95160996 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020054 CA Primary

Addresses

Primary practice location

6386 Alvarado CT Ste 210
San Diego, CA 92120-4907

Mailing address

6386 Alvarado CT Ste 210
San Diego, CA 92120-4907

Other practice location 1

1455 Frazee Rd Ste 500
San Diego, CA 92108-4350
Phone (619) 404-0667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502000310 CA Practitioner - Nurse Practitioner 5294122743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

6386 Alvarado CT
Suite 210
San Diego, CA 92120-4907
Phone (858) 279-1223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Apr 17, 2024 Accepting new patients
Brian P. Miller, M.D., a Professional Corporation CurrentSince May 1, 2022 Accepting new patients
William L. Wilson, M.D., Inc. PastSince Apr 14, 2014 Accepting new patients
Well Coast Psychiatric Inc. a Nursing Corp Psychiatric/Mental Health Past Accepting new patients

Locations

8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792

8881 Fletcher Pkwy
Ste 360
La Mesa, CA 91942
Phone (619) 460-2700

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

7850 Vista Hill Ave
San Diego, CA 92123
Phone (858) 836-8434

6386 Alvarado Ct
Ste 210
San Diego, CA 92120
Phone (619) 286-6687

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.emilyeconie@143255.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1295327112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204907",
            "telephone_number": "858-279-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 Frazee Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084350",
            "country_code": "US",
            "telephone_number": "619-404-0667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECONIE",
        "first_name": "EMILY",
        "middle_name": "SUZANNE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95160996",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.