Organization Active NPI

Cloud Nine Clinical Consultants

  • Psychiatry Physician
  • Encinitas, CA
National Provider Identifier
1962273201
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CLOUD NINE CLINICAL CONSULTANTS
Practice address
4405 Manchester Ave Ste 207
Encinitas, CA 92024-7902
Phone
(760) 730-2535
Fax
(760) 230-4199
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Dr. Paul Sargent, MDNPI 1609990662
Title
Ceo
Phone
(760) 730-2535

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4405 Manchester Ave Ste 207
Encinitas, CA 92024-7902

Mailing address

PO Box 230547
Encinitas, CA 92023-0547
Phone (619) 218-2858

National Provider Directory

National Provider Directory

Locations

4405 Manchester Ave
Ste 207
Encinitas, CA 92024
Phone (760) 730-2535

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": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1962273201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230547",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920230547",
            "telephone_number": "619-218-2858",
            "fax_number": "760-230-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 MANCHESTER AVE STE 207",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920247902",
            "telephone_number": "760-730-2535",
            "fax_number": "760-230-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD NINE CLINICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-730-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.