BERLOW CLINICAL (NPI# 1093268658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093268658 |
| Entity Type | Organization |
| Organization Name | BERLOW CLINICAL |
| Practice Address |
1104 Camino Del Mar Suite 10 Del Mar CA 92014-2656 |
| Practice Telephone | 6198944489 |
| Mailing Telephone | 6198944489 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Authorized Official Name | RUSTIN BERLOW (CEO) |
| Authorized Official Telephone | 6198944489 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
G076945 | CA | Ambulatory Health Care Facilities |
| Street Address |
1104 CAMINO DEL MAR SUITE 10 |
| City | DEL MAR |
| State | CA |
| Zip Code | 92014-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407839012 | Christy Wise | Psychologist | 1104 Camino Del Mar, Suite 107, Del Mar, CA 92014-2656 | 2005-11-29 |
| 1467767558 | Adrienne Blumberg | Marriage & Family Therapist | 1104 Camino Del Mar, Del Mar, CA 92014-2656 | 2010-08-12 |
| 1720101082 | San Diego Family Services | Psychologist | 1104 Camino Del Mar, Suite 107, Del Mar, CA 92014-2656 | 2007-04-09 |
| 1164549077 | Rustin Berlow | Psychiatry & Neurology | 1104 Camino Del Mar, Ste 10, Del Mar, CA 92014 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751924 | Stanisai Dental Corporation | Dentist | 2710 Via De La Valle, Suite B250, Del Mar, CA 92014 | 2017-07-03 |
| 1750757886 | Darena Ann Bailey | Psychologist | 13778 Ruette Le Parc, Suite E, Del Mar, CA 92014 | 2015-08-12 |
| 1063754885 | James Anthony Bosch | Marriage & Family Therapist | 2002 Jimmy Durante Blvd Suite 124, Del Mar, CA 92014 | 2013-03-19 |
| 1255682167 | Allcare Behavioral Health | Community/Behavioral Health | 3790 Via Da La Valle, Suite 108e, Del Mar, CA 92014 | 2012-10-02 |
| 1952693467 | William Talbot Bowen | Emergency Medicine | 13734 Boquita Dr., Del Mar, CA 92014 | 2011-05-03 |
| 1821239567 | Kathyrn Engel | Social Worker | 13352 Caminito Carmel, Del Mar, CA 92014 | 2009-03-10 |
| 1356500839 | Hsin-ti S Chang | Dentist | 13760 Portofino Dr Apt A, Del Mar, CA 92014 | 2008-06-09 |
| 1952523177 | Ron Barry Dmd Inc. | Dentist | 13983 Mango Drive, Suite 202, Del Mar, CA 92014 | 2007-05-03 |
| 1225182769 | Kathleen Ann Larson | Social Worker | 1337 Camino Del Mar Ste B, Del Mar, CA 92014 | 2007-01-22 |
| 1144388554 | Charlotte Denise Scott | Chiropractor | 2636 Flower Hill Drive, Del Mar, CA 92014 | 2006-12-05 |
| Find all providers in zip 92014 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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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.