Embolden Behavioral Health

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EMBOLDEN BEHAVIORAL HEALTH

Practice address

4576 Park Blvd
#4
San Diego, CA 92116

Phone

(619) 786-2393

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Stacy Struhs, MA, BCBA, LBANPI 1063870897

Title

Executive Director

Phone

(619) 786-2393

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Struhs

  • Behavior Analyst
  • San Diego, CA
  • NPI 1063870897
  NPD Authorized official

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1346936028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BROADWAY # 5144",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015107",
            "telephone_number": "619-786-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 PARK BLVD",
            "address_2": "#4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92116",
            "telephone_number": "619-786-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBOLDEN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "STRUHS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-786-2393",
        "authorized_official_credential": "MA, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Susan Embers
• Dainelle Gene Emberson, RN
• Embodied Living Counseling
• Embodied Living Counseling Licensed Professional Clinical Counselor PC
• Embody Physical Therapy & Yoga, Inc.
• Embrace Them
• Lacy Marie Embree, BCBA
• Jessica Marie Embrey
• Payam Emdad, M.D
• Larry I Emdur, DO, PHD

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.