Organization Active NPI

California Holistic Psychiatry Corp

  • Psychiatry Physician
  • Encinitas, CA
National Provider Identifier
1801638838
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CALIFORNIA HOLISTIC PSYCHIATRY CORP
Practice address
317 N El Camino Real # 508
Encinitas, CA 92024-2811
Phone
(760) 720-0000
NPI assigned
Jun 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Mr. Jonathan Nowlin, MR.
Title
Admin
Phone
(619) 249-7332

Specialties & licenses 1

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

Addresses

Primary practice location

317 N El Camino Real # 508
Encinitas, CA 92024-2811

Mailing address

222 W Comstock Ave Ste 202
Winter Park, FL 32789-4272
Phone (760) 720-0000

National Provider Directory

National Provider Directory

Locations

317 N El Camino Real
#508
Encinitas, CA 92024
Phone (760) 458-1600

222 W Comstock Ave
Ste 202
Winter Park, FL 32789
Phone (407) 338-3770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1801638838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W COMSTOCK AVE STE 202",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894272",
            "telephone_number": "760-720-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL # 508",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242811",
            "telephone_number": "760-720-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HOLISTIC PSYCHIATRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "NOWLIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "619-249-7332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.