Organization Active NPI

Dialectical Behavioral Therapy Center of San Diego

  • Clinic/Center
  • San Diego, CA
National Provider Identifier
1831490838
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PSY20785 Issued in CA
Legal business name
DIALECTICAL BEHAVIORAL THERAPY CENTER OF SAN DIEGO
Practice address
9666 Businesspark Ave Ste 105
San Diego, CA 92131-1646
Phone
(619) 602-0726
NPI assigned
Nov 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Pinh Brown
Title
Office Manager
Phone
(619) 602-0726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PSY20785 CA Primary

Addresses

Primary practice location

9666 Businesspark Ave Ste 105
San Diego, CA 92131-1646

Mailing address

9666 Businesspark Ave Ste 105
San Diego, CA 92131-1646
Phone (619) 602-0726

Other names 1

  • DBT Center of San Diego Doing business as

National Provider Directory

National Provider Directory

Locations

9666 Businesspark Ave
Ste 105
San Diego, CA 92131
Phone (619) 602-0726

Practitioners & affiliated clinicians

Practitioners 6

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": "1289001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1831490838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9666 BUSINESSPARK AVE STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311646",
            "telephone_number": "619-602-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 BUSINESSPARK AVE STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311646",
            "telephone_number": "619-602-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALECTICAL BEHAVIORAL THERAPY CENTER OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-06",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PINH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-602-0726"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "PSY20785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBT Center of San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2014; 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.