Lifeologie San Diego

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIFEOLOGIE SAN DIEGO

Practice address

3295 Meade Ave
San Diego, CA 92116-4557

Phone

(619) 493-0541

NPI assigned

Oct 12, 2020

Organization subpart

Yes

Parent organization

AGAPE COMMUNITY DEVELOPMENT CORPAs reported in NPPES

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

Authorized official

Name

Helen Hayes Mosess, LCSW

Title

Clinical Director

Phone

(619) 493-0541

Specialties & licenses 2

Addresses

Part of

Lifeologie San Diego

Locations

Practitioners 1

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

• Helen Hayes

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1497974927
  NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1366040396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3188 FRANKLIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921131429",
            "telephone_number": "323-229-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 MEADE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164557",
            "telephone_number": "619-493-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEOLOGIE SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPE COMMUNITY DEVELOPMENT CORP",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "MOSESS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "619-493-0541",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifehealth Medicine Apc
• Lifehouse San Diego Operations, LLC
• Lifeline Transportation LLC
• Lifemark Marriage & Family Therapy Corporation
• Lifemark Solutions LLC
• Lifepath Therapy
• Lifeshades of Nursing Professional Corporation
• Lifespan Physiotherapy Staffing, Inc
• Lifespring Center
• Lifewest Southern California

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.