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UCSD EATING DISORDER TREATMENT AND RESEARCH CENTER NPI 1952449050


NPI Information

NPI: 1952449050
Provider Name: UCSD EATING DISORDER TREATMENT AND RESEARCH CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 05D2134900

Address:
4510 EXECUTIVE DR
#315
SAN DIEGO, CA
ZIP 92121
Phone: (858) 534-8019
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UCSD EATING DISORDER TREATMENT AND RESEARCH CENTER is a community behavioral health in San Diego, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. UCSD EATING DISORDER TREATMENT AND RESEARCH CENTER NPI is 1952449050. The provider is registered as an organization entity type.

The provider's business location address is:

4510 EXECUTIVE DR
#315
SAN DIEGO, CA
ZIP 92121-021
Phone: (858) 534-8019
Fax: (858) 534-6727

The provider's authorized official is Cheryl Sweet .
The authorized official title is Revenue Manager and has the following contact phone number (858) 534-2358.

The CLIA number assigned to this NPI record is 05D2134900 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 3/12/2013.


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
1251S00000XCommunity/Behavioral 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.