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THE FORUM AT SAN DIEGO BRAINWORKS INC. NPI 1215670542


NPI Information

NPI: 1215670542
Provider Name: THE FORUM AT SAN DIEGO BRAINWORKS, INC.
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
5820 OBERLIN DR STE 203
SAN DIEGO, CA
ZIP 92121
Phone: (858) 247-3162
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THE FORUM AT SAN DIEGO BRAINWORKS, INC. is an adolescent and children mental health clinic center in San Diego, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. THE FORUM AT SAN DIEGO BRAINWORKS, INC. NPI is 1215670542. The provider is registered as an organization entity type.

The provider's business location address is:

5820 OBERLIN DR STE 203
SAN DIEGO, CA
ZIP 92121-744
Phone: (858) 247-3162

The provider's authorized official is Shahan Suzmeyan .
The authorized official title is Compliance and has the following contact phone number (213) 924-6442.

The enumeration date for this NPI number is 4/14/2022 and was last updated on 4/14/2022.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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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