Organization Active NPI

Spectrum Mental Health Nursing Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Vista, CA
National Provider Identifier
1295659480
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Aug 10, 2026

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.