Individual provider Active NPI

Emily Woolsey, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1861147340
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95025730 Issued in CA
Practice address
1016 Outer Rd
San Diego, CA 92154-1351
Phone
(619) 429-3733
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95153139 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95025730 CA Primary

Addresses

Primary practice location

1016 Outer Rd
San Diego, CA 92154-1351

Mailing address

1016 Outer Rd
San Diego, CA 92154-1351
Phone (619) 429-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831003984 CA Practitioner - Nurse Practitioner 6800259250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadima Neuropsychiatry Institute Medical CorpGroup PAC ID 6305125816, 5 clinicians

Practice addresses (Care Compare)

3252 Holiday CT
Suite 112
La Jolla, CA 92037-1808
Phone (858) 412-4130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc CurrentSince Aug 1, 2023 Accepting new patients
Imperial Beach Community Clinic PastSince Dec 14, 2025 Accepting new patients

Locations

1202 Morena Blvd
Ste 100
San Diego, CA 92110
Phone (619) 276-8112

1202 Morena Blvd
Ste 300
San Diego, CA 92110
Phone (619) 276-8112

1260 Morena Blvd
Ste 100
San Diego, CA 92110
Phone (619) 398-0350

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBEEDD
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10012052

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1861147340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 OUTER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541351",
            "telephone_number": "619-429-3733",
            "fax_number": "855-576-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 OUTER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541351",
            "telephone_number": "619-429-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLSEY",
        "first_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95153139",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.