Pacific Psych Centers, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A13243 Issued in CA

Legal business name

PACIFIC PSYCH CENTERS, INC.

Doing business as

Pacific Psych

Practice address

317 14TH St Ste a
Del Mar, CA 92014-2554

Phone

(858) 261-4622

Fax

(858) 724-1990

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Jeffrey Jacob Hollingsworth, DONPI 1376748673

Title

Owner Operator

Phone

(858) 261-4622

Specialties & licenses 1

Addresses

Other names 1

• Pacific Psych Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Jacob Hollingsworth, D.O.

  • Psychiatry Physician
  • Del Mar, CA
  • NPI 1376748673
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1972046050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 14TH ST STE A",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142554",
            "telephone_number": "858-261-4622",
            "fax_number": "858-724-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 14TH ST STE A",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142554",
            "telephone_number": "858-261-4622",
            "fax_number": "858-724-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PSYCH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "858-261-4622",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A13243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Svetlana Novakovic
• Devon Berkheiser O'Neill, PSY.D.
• Okuda & Tran a Dental Corporation
• David Frank Paa, MD
• Pacific Biomedical DME LLC (pacific biomedical)
• Sabrina Britschgi Parr, MFT
• Ryan Darius Partovi I, J.D., N.M.D., MIFHI
• James Lee Pascoe, DC
• Patti Metz, PH.D., Prof. Corp.
• Danielle Patton, PA-C

• Psychiatry Physician in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.