Organization Active NPI

Neurabello LLC

Doing business as Neurabello

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1427859214
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEURABELLO LLC
Doing business as
Neurabello
Practice address
4510 Executive Dr Ste P5
San Diego, CA 92121-3021
Phone
(404) 414-3700
NPI assigned
Mar 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Robert Jordshaugen
Title
Ceo
Phone
(404) 414-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4510 Executive Dr Ste P5
San Diego, CA 92121-3021

Mailing address

4510 Executive Dr Ste P5
San Diego, CA 92121-3021

Other names 1

  • Neurabello Doing business as

National Provider Directory

National Provider Directory

Locations

4510 Executive Dr
Ste P5
San Diego, CA 92121
Phone (619) 292-8383

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1427859214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE P5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE P5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213021",
            "telephone_number": "404-414-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURABELLO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "JORDSHAUGEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-414-3700"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurabello",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurabello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 11, 2025; 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.