Ucsd Outpatient Psychiatric Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

N/A

Legal business name

UCSD OUTPATIENT PSYCHIATRIC SERVICES

Practice address

140 Arbor Dr
San Diego, CA 92103-2007

Phone

(619) 543-6290

NPI assigned

Jun 6, 2011

Last updated

Jun 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mylene Eduvala

Title

Senior Community Health Program Rep

Phone

(619) 543-6852

Specialties & licenses 1

Addresses

Tax ID family

Crest Community Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Turning Point Crisis Center- Community Research Foundation

  • Mental Illness Community Based Residential Treatment Facility
  • Oceanside, CA
  • NPI 1740573641
  NPD tax ID
• University of California, San Diego

  • Adult Mental Health Clinic/Center
  • San Diego, CA
  • NPI 1811447790
  NPD tax ID

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1780978882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032007",
            "telephone_number": "619-543-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSD OUTPATIENT PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "EDUVALA",
        "authorized_official_first_name": "MYLENE",
        "authorized_official_title_or_position": "SENIOR COMMUNITY HEALTH PROGRAM REP",
        "authorized_official_telephone_number": "619-543-6852"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ucsd Medical Center
• Ucsd Occupational Medicine
• Ucsd Occupational Medicine
• Ucsd Outpatient Psychiatic Clinic
• Ucsd Outpatient Psychiatric Services
• Ucsd Outpatient Psychiatric Services
• Ucsd Pediatric Associates
• Ucsd Physicians Network - Specialty Care
• Ucsd Surgery
• Ucsd Surgical Center of San Diego, LLC

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.