Organization Active NPI

Dedicated Healthcare LLC

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1851989339
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DEDICATED HEALTHCARE LLC
Practice address
3952 Clairemont Mesa Blvd # D438
San Diego, CA 92117-2739
Phone
(253) 539-9886
NPI assigned
Jan 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Authorized official

Name
Chelsea Stone, MED, BCBANPI 1104361716
Title
Bcba
Phone
(253) 539-9886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3952 Clairemont Mesa Blvd # D438
San Diego, CA 92117-2739

Mailing address

3952 Clairemont Mesa Blvd # D438
San Diego, CA 92117-2739
Phone (253) 539-9886

National Provider Directory

National Provider Directory

Locations

3952 Clairemont Mesa Blvd
#D438
San Diego, CA 92117
Phone (253) 539-9886

707 Civic Center Dr
Ste 202
Vista, CA 92084
Phone (253) 576-1059

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": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610236800000",
    "number": "1851989339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3952 CLAIREMONT MESA BLVD # D438",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172739",
            "telephone_number": "253-539-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3952 CLAIREMONT MESA BLVD # D438",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172739",
            "telephone_number": "253-539-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "253-539-9886",
        "authorized_official_credential": "MED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 10, 2021; 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.