Organization Active NPI

Thousand Branches Professionals PC

  • Adult Mental Health Clinic/Center
  • San Diego, CA
National Provider Identifier
1902645005
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THOUSAND BRANCHES PROFESSIONALS PC
Practice address
3838 Camino del Rio N Ste 380
San Diego, CA 92108-1764
Phone
(800) 931-4646
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Mark Friedlander, MD
Title
Director
Phone
(610) 382-3460

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3838 Camino del Rio N Ste 380
San Diego, CA 92108-1764

Mailing address

3838 Camino del Rio N Ste 380
San Diego, CA 92108-1764
Phone (800) 931-4646

National Provider Directory

National Provider Directory

Locations

3838 Camino del Rio N
Ste 380
San Diego, CA 92108
Phone (619) 984-9510

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1902645005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 CAMINO DEL RIO N STE 380",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081764",
            "telephone_number": "800-931-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CAMINO DEL RIO N STE 380",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081764",
            "telephone_number": "800-931-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUSAND BRANCHES PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "FRIEDLANDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-382-3460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental 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 Dec 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.