Root Healing SD

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ROOT HEALING SD

Practice address

5434 Olive St Unit a
San Diego, CA 92105-5054

Phone

(619) 840-9440

NPI assigned

Aug 17, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Jackson, PMHNP-BCNPI 1093023509

Title

Owner

Phone

(619) 840-9440

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.

• Michelle Jackson, NP

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1093023509

  Psychiatric/Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1396650248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5434 OLIVE ST UNIT A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055054",
            "telephone_number": "619-840-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5434 OLIVE ST UNIT A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055054",
            "telephone_number": "619-840-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT HEALING SD",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-840-9440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Roos
• Jessica Roos
• Joel Andrew Roos, MD
• Patricia Chau Roose, CO
• Matthew James Roosevelt, M.D.
• Josie Root
• Olivia Grace Root, RN
• Rooted & Resilient Marriage & Family Therapy, PC
• Rooted and Rising Psychology
• Rooted Life

• Psychiatric/Mental Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.