Active NPI
Holistic Mental Health, Inc.
- Psychiatric/Mental Health Nurse Practitioner
- San Diego, CA
National Provider Identifier
1699516625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HOLISTIC MENTAL HEALTH, INC.
- Practice address
- 2210 River Run Dr Unit 67
San Diego, CA 92108-5812 - Phone
- (619) 559-5884
- NPI assigned
- Jun 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Lindley, NP
- Title
- Owner
- Phone
- (619) 559-5884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2210 River Run Dr Unit 67
San Diego, CA 92108-5812
Mailing address
2210 River Run Dr Unit 67
San Diego, CA 92108-5812
Phone (619) 559-5884
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717459200000",
"number": "1699516625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 RIVER RUN DR UNIT 67",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085812",
"telephone_number": "619-559-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 RIVER RUN DR UNIT 67",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085812",
"telephone_number": "619-559-5884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC MENTAL HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A",
"authorized_official_last_name": "LINDLEY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-559-5884",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NP"
},
"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": []
}
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 Jun 4, 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.