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
- Last updated
- Sep 16, 2009
- 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
- Dr. Aleksandra Marinovic, PSY.D.
- Title
- Psychologist
- Phone
- (858) 349-4496
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| 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
Primary practice location
34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098
Mailing address
2435 Adams Ave
#5
San Diego, CA 92116-1343
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Grover Beach, CA
- NPI 1174159859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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.