Organization Active NPI

Sollus Psychiatry a Professional Corporation

  • Psychiatry Physician
  • Carlsbad, CA
National Provider Identifier
1861227928
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SOLLUS PSYCHIATRY A PROFESSIONAL CORPORATION
Practice address
5650 El Camino Real Ste 215
Carlsbad, CA 92008-7128
Phone
(800) 821-1033
NPI assigned
Sep 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Shana Penny, MS
Title
Manager
Phone
(858) 257-6708

Specialties & licenses 1

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

Addresses

Primary practice location

5650 El Camino Real Ste 215
Carlsbad, CA 92008-7128

Mailing address

5650 El Camino Real Ste 215
Carlsbad, CA 92008-7128
Phone (619) 649-6658

Other practice location 1

12625 High Bluff Dr Ste 213
San Diego, CA 92130-2054
Phone (858) 257-6708

Other practice location 2

2424 Vista Way Ste 201
Oceanside, CA 92054-6171
Phone (619) 909-5345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717002768 CA Part B Supplier - Clinic/Group Practice 6103332192 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA; Oceanside, CA; San Diego, CA

National Provider Directory

National Provider Directory
Tax ID family
Sollus Psychiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5650 El Camino Real
Ste 215
Carlsbad, CA 92008
Phone (619) 649-6658

2424 Vista Way
Oceanside, CA 92054
Phone (619) 649-6658

12625 High Bluff Dr
Ste 213
San Diego, CA 92130
Phone (858) 257-6708

2515 Camino del Rio S
Ste 320
San Diego, CA 92108
Phone (619) 649-6658

Practitioners & affiliated clinicians

Practitioners 2

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": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1861227928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 EL CAMINO REAL STE 215",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087128",
            "telephone_number": "619-649-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 EL CAMINO REAL STE 215",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087128",
            "telephone_number": "800-821-1033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12625 High Bluff Dr Ste 213",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921302054",
            "country_code": "US",
            "telephone_number": "858-257-6708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 Vista Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920546171",
            "country_code": "US",
            "telephone_number": "619-909-5345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOLLUS PSYCHIATRY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "PENNY",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-257-6708",
        "authorized_official_credential": "MS"
    },
    "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 Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.