Jacqueline Renee Kulbe, MD-PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7144 Issued in CA

Practice address

200 W Arbor Dr # 8218
San Diego, CA 92103-1911

Phone

(619) 471-0283

NPI assigned

Apr 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1992383509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR # 8218",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR # 8218",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031911",
            "telephone_number": "619-471-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULBE",
        "first_name": "JACQUELINE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD-PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "7144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kula Detox LLC
• Catherine Reilly Kulak, IDC
• Kristen Kulasa, M.D.
• Art Tan Kulatti, MD
• Pamela Dawn Kulbarsh, R.N.
• Kimberley Kules, PT
• Anthony Kuleto, M.D.
• Andrew L Kulik, DO
• Danielle Phuong Kulischak, PHARM.D
• Darren Kulischak

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.