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COASTAL PSYCHIATRIC MEDICAL ASSOCIATES INC. NPI 1851405765


NPI Information

NPI: 1851405765
Provider Name: COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC.

Other Name: COASTAL MANAGEMENT SERVICE ORGANIZATION

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
12520 HIGH BLUFF DR
SUITE 120
SAN DIEGO, CA
ZIP 92130
Phone: (858) 405-4423
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COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC. is a clinical psychologist in San Diego, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC. NPI is 1851405765. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Coastal Management Service Organization.

The provider's business location address is:

12520 HIGH BLUFF DR
SUITE 120
SAN DIEGO, CA
ZIP 92130-041
Phone: (858) 405-4423
Fax: (858) 581-5788

The provider's authorized official is Robert Jay Solomon .
The authorized official title is President/medical Director and has the following contact phone number (858) 405-4423.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY 20859CALIFORNIAYes
21041C0700XSocial WorkerClinicalLCS 21909CALIFORNIAX
31041C0700XSocial WorkerClinicalLCS18331CALIFORNIAX
41041C0700XSocial WorkerClinicalLCS 17640CALIFORNIAX
51041C0700XSocial WorkerClinicalLCS 21666CALIFORNIAX
61041C0700XSocial WorkerClinicalLCS 18149CALIFORNIAX
7106H00000XMarriage & Family TherapistMFC 24183CALIFORNIAX
8106H00000XMarriage & Family TherapistMFC 19749CALIFORNIAX
9106H00000XMarriage & Family TherapistMFC 41302CALIFORNIAX
10106H00000XMarriage & Family TherapistMFC 35861CALIFORNIAX
112084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryG64571CALIFORNIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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