SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL (NPI# 1689968737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689968737 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL |
| Practice Address |
3853 Rosecrans St San Diego CA 92110-3115 |
| Practice Telephone | 6196928222 |
| Mailing Telephone | 6196928222 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | SHARON CASTRO (LPT) |
| Authorized Official Telephone | 6196928222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 23671 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720343429 | San Diego County Psychiatric Hospital | Psychiatric Hospital | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2012-07-09 |
| 1073817631 | San Diego County Psychiatric Hospital | Psychiatric Hospital | 3851 Rosecrans St, San Diego, CA 92110-3134 | 2010-12-22 |
| 1467752840 | San Diego County Psychiatric Hospital | Psychiatric Unit | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2010-11-01 |
| Street Address |
3853 ROSECRANS ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750490645 | Nicole Marie Lanouette | Psychiatry & Neurology | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2006-08-30 |
| 1396345260 | Jamson Jaeger Deloria Abella | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-29 |
| 1588262158 | Kyle Alvin Pedines Marmolejo | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-15 |
| 1972101129 | Robert James Dodson | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-10 |
| 1114524402 | Ma Rosa Nika Z Paet | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-08 |
| 1164029740 | Charmaine Lim Solmerano | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-06 |
| 1609483858 | Bethany Anne Higgins | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-30 |
| 1972110609 | Shannon M Keene | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-27 |
| 1396352449 | Connor Louis Kleis | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1396351284 | Lourdes Marie Terry | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
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| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851873343 | Edward Cameron | Licensed Psychiatric Technician | 8898 Clairemont Mesa Blvd, San Diego, Ca 92, Suite H, San Diego, CA 92123 | 2018-08-31 |
| 1003966516 | Marissa M Abril | Licensed Psychiatric Technician | 427 C St Ste 212, San Diego, CA 92101-5121 | 2007-01-10 |
| 1710594742 | Ashley Nicole Gatoloai | Licensed Psychiatric Technician | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1881229102 | Maria Virginia Gutierrez | Licensed Psychiatric Technician | 545 Laurel St, San Diego, CA 92101-1634 | 2020-03-06 |
| 1740824085 | B. Alicia Alatorre | Licensed Psychiatric Technician | 4309 3rd Ave, San Diego, CA 92103-1407 | 2019-10-30 |
| 1952819682 | Summer Yanez Hopkins | Licensed Psychiatric Technician | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-01-16 |
| 1841726296 | Lyshone Reeder | Licensed Psychiatric Technician | 892 27th St, San Diego, CA 92154-1444 | 2017-05-04 |
| 1639580434 | Valorie Ruka | Licensed Psychiatric Technician | 427 C St, Suite 212, San Diego, CA 92101-5100 | 2014-05-14 |
| 1003158932 | Ruby A Garcia | Licensed Psychiatric Technician | 600 B St Ste 1570, San Diego, CA 92101-4560 | 2013-03-18 |
| 1184961351 | Freddie Bunch | Licensed Psychiatric Technician | 734 10th Ave, San Diego, CA 92101-6502 | 2013-01-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.