Active NPI
Nmcsd
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
National Provider Identifier
1336472869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 22507
- Legal business name
- NMCSD
- Practice address
- 34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098 - Phone
- (858) 753-1735
- NPI assigned
- Sep 16, 2009
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Aleksandra Marinovic, PSY.D.
- Title
- Psychologist
- Phone
- (858) 349-4496
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 22507 | CA | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 22507 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098
Mailing address
2435 Adams Ave
#5
San Diego, CA 92116-1343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2009.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253059200000",
"number": "1336472869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 ADAMS AVE",
"address_2": "#5",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921161343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"address_2": "NMCSD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "858-753-1735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NMCSD",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A",
"authorized_official_last_name": "MARINOVIC",
"authorized_official_first_name": "ALEKSANDRA",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "858-349-4496",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "22507",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "CA",
"license": "22507",
"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 Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.