Active NPI
Spectrum Mental Health Nursing Inc.
- Psychiatric/Mental Health Nurse Practitioner
- Vista, CA
National Provider Identifier
1295659480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SPECTRUM MENTAL HEALTH NURSING INC.
- Practice address
- 247 E Bobier Dr
Vista, CA 92084-3026 - Phone
- (510) 283-8560
- Fax
- (858) 216-1902
- NPI assigned
- Aug 10, 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
- Michael S Fitzgerald, PMHNP
- Title
- Pmhnp
- Phone
- (510) 283-8560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
247 E Bobier Dr
Vista, CA 92084-3026
Mailing address
1111 6TH Ave Ste 550
San Diego, CA 92101-5211
Phone (510) 283-8560
National Provider Directory
National Provider DirectoryLocations
247 E Bobier Dr
Vista, CA 92084
Phone (760) 724-3169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1295659480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 6TH AVE STE 550",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921015211",
"telephone_number": "510-283-8560",
"fax_number": "858-216-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 E BOBIER DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920843026",
"telephone_number": "510-283-8560",
"fax_number": "858-216-1902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM MENTAL HEALTH NURSING INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-08-09",
"status": "A",
"authorized_official_last_name": "FITZGERALD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "510-283-8560",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.