Ucsd Eating Disorder Treatment and Research Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UCSD EATING DISORDER TREATMENT AND RESEARCH CENTER

Practice address

4510 Executive Dr
#315
San Diego, CA 92121-3021

Phone

(858) 534-8019

Fax

(858) 534-6727

NPI assigned

Feb 1, 2007

Last updated

Mar 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryl Sweet

Title

Revenue Manager

Phone

(858) 534-2358

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1952449050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR",
            "address_2": "#315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213021",
            "telephone_number": "858-534-8019",
            "fax_number": "858-534-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR",
            "address_2": "#315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213021",
            "telephone_number": "858-534-8019",
            "fax_number": "858-534-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSD EATING DISORDER TREATMENT AND RESEARCH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "858-534-2358"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ucsd Ambulatory Surgery Center, LLC (University Ambulatory Surgery Center)
• Ucsd Department of Orthopaedic Surgery
• Ucsd Department of Pediatrics
• Ucsd Dept. of Psychiatry
• Ucsd Dept. of Psychiatry
• Ucsd Emergency Medicine
• Ucsd Health System
• Ucsd Medical Center
• Ucsd Occupational Medicine
• Ucsd Occupational Medicine

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.