Active NPI
Jean-Pierre Roberts, RN
- Adult Psychiatric/Mental Health Registered Nurse
- San Diego, CA
National Provider Identifier
1629825377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 695395
- Practice address
- North Central Behavioral Health Clinic
1250 Morena Blvd. 1St Floor
San Diego, CA 92110 - Phone
- (619) 692-8750
- NPI assigned
- May 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 695395 | CA | Primary |
Addresses
Primary practice location
North Central Behavioral Health Clinic
1250 Morena Blvd. 1St Floor
San Diego, CA 92110
Mailing address
North Central Behavioral Health Clinic
1250 Morena Blvd. 1St Floor
San Diego, CA 92110
Phone (619) 692-8750
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 695395 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Diego | Multi-Specialty | Current | Accepting new patients |
Locations
1250 Morena Blvd
Fl 1
San Diego, CA 92110
Phone (619) 692-8750
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1629825377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTH CENTRAL BEHAVIORAL HEALTH CLINIC",
"address_2": "1250 MORENA BLVD. 1ST FLOOR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92110",
"telephone_number": "619-692-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTH CENTRAL BEHAVIORAL HEALTH CLINIC",
"address_2": "1250 MORENA BLVD. 1ST FLOOR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92110",
"telephone_number": "619-692-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JEAN-PIERRE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "695395",
"primary": true
}
],
"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 May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.