Individual provider Active NPI

Maggie McEnerney, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1619788759
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10063070 Issued in OR
Practice address
427 9TH Ave Unit 1009
San Diego, CA 92101-7371
Phone
(224) 489-9071
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10063070 OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 342915 AZ

Addresses

Primary practice location

427 9TH Ave Unit 1009
San Diego, CA 92101-7371

Mailing address

427 9TH Ave Unit 1009
San Diego, CA 92101-7371
Phone (224) 489-9071

Other practice location 1

4527 N 16th St # 201
Phoenix, AZ 85016-5352
Phone (480) 631-9623

Other practice location 2

917 SW Oak St Ste 417
Portland, OR 97205-2807
Phone (503) 208-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1619788759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 9TH AVE UNIT 1009",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017371",
            "telephone_number": "224-489-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 9TH AVE UNIT 1009",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017371",
            "telephone_number": "224-489-9071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4527 N 16th St # 201",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850165352",
            "country_code": "US",
            "telephone_number": "480-631-9623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 SW Oak St Ste 417",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052807",
            "country_code": "US",
            "telephone_number": "503-208-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCENERNEY",
        "first_name": "MAGGIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10063070",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "342915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 8, 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.