NPIMap

Organization Active NPI

Coastal Psychiatric Care, AMC

  • Specialist
  • Atascadero, CA
National Provider Identifier
1376769133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G22464 Issued in CA
Legal business name
COASTAL PSYCHIATRIC CARE, AMC
Practice address
8575 Morro Rd
Suite K
Atascadero, CA 93422-3924
Phone
(805) 466-5626
Fax
(805) 466-2322
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dugald D. Chisholm, MDNPI 1366472599
Title
President
Phone
(805) 466-5626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G22464 CA Primary

Addresses

Primary practice location

8575 Morro Rd
Suite K
Atascadero, CA 93422-3924

Mailing address

8575 Morro Rd
Suite K
Atascadero, CA 93422-3924
Phone (805) 466-5626

National Provider Directory

National Provider Directory

Locations

8575 Morro Rd
Ste K
Atascadero, CA 93422
Phone (805) 434-1875

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376769133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 MORRO RD",
            "address_2": "SUITE K",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223924",
            "telephone_number": "805-466-5626",
            "fax_number": "805-466-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 MORRO RD",
            "address_2": "SUITE K",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223924",
            "telephone_number": "805-466-5626",
            "fax_number": "805-466-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PSYCHIATRIC CARE, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "DUGALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-466-5626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G22464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.