MR. JOSHUA DON DOUGHERTY


Address: 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933
Phone: 6196921581

MR. JOSHUA DON DOUGHERTY (NPI# 1104442185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104442185
Entity Type Individual
Full Name MR. JOSHUA DON DOUGHERTY
Credential PMHNP
Practice Address 1550 Hotel Cir N Ste 450
San Diego
CA 92108-2933
Mailing Address Po Box 609001
San Diego
CA 92160-9001
Practice Telephone 6196921581
Practice Fax Number 6195284625
Mailing Telephone 6195284600
Mailing Fax Number 6195284625
Enumeration Date 2020-06-24
Last Update Date 2020-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NP95015591 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1550 HOTEL CIR N STE 450
City SAN DIEGO
State CA
Zip Code 92108-2933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477661619 John C. Lowry Psychiatry & Neurology 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 2006-08-28
1427571488 Troy Allen Mckinney Counselor 1550 Hotel Cir N Ste 450, San Diego, CA 92108 2017-07-21
1932524303 Robynn Heather Cavaliere Nurse Practitioner 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 2014-02-21
1871871376 Susan Maria Gehrig Psychologist 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 2011-08-01
1467759472 Heather Raquel Uribe Marriage & Family Therapist 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 2011-02-28
1396961579 Ellen Kaufman Quick Psychologist 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 2007-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952902801 Keri Castaneda Behavior Technician 025 Camino Del Rio South Suite 101, San Diego, CA 92108 2020-11-06
1457963738 Diyana Giorgees Case Manager/Care Coordinator 5005 Texas Street, St. 203, San Diego, CA 92108 2020-08-19
1780211896 Lori Mildred Jerman Marriage & Family Therapist Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 2020-03-26
1285260737 Demetrius Anderson Counselor Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 2020-03-17
1033742465 Dasc Medical Inc Durable Medical Equipment & Medical Supplies 5520 Gill Village Way, 907, San Diego, CA 92108 2020-02-13
1508401092 Chanda Denee Kizer Marriage & Family Therapist 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 2019-11-08
1225695562 Jenna Rose Shurer Nurse Practitioner 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 2019-05-22
1952967812 Martha Kebede Mekonen Chiropractor 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 2019-05-16
1053886135 Andrea Jiselly Munoz Behavior Technician 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 2018-10-04
1386128916 Sarah Elisabeth Smith Counselor 7575 Metropolitan Dr., San Diego, CA 92108 2018-09-19
Find all providers in zip 92108

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609431196 Tanya Denise Stevenson-gaines Nurse Practitioner 13988 Royal Melbourne Sq, San Diego, CA 92128-3646 2019-05-09
1457788598 Christopher John Reddin Nurse Practitioner Naval Medical Center San Diego C I D, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2013-10-03
1356650634 Jamie M Sorenson Nurse Practitioner Center Star Act Mental Health Systems, 4283 El Cajon Blvd, Suite 115, San Diego, CA 92105-0001 2010-10-04
1023345204 Nelda K. Coleman Nurse Practitioner 4715 Viewridge Avenue, Suite 230, San Diego, CA 92123 2009-11-10
1972506483 Steven G Hogan Nurse Practitioner 8810 Rio San Diego Dr, San Diego, CA 92108-1698 2005-05-30
1396358024 Stephanie Joyce Reed Nurse Practitioner 2630 1st Ave, San Diego, CA 92103-6599 2020-08-24
1801422258 Safiya Damali Daley Nurse Practitioner 1675 Morena Blvd, San Diego, CA 92110-3703 2020-03-17
1083247779 Fernando Ebeo Serrano Jr. Nurse Practitioner 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 2020-02-20
1538790605 Kat Tupas Balingit Nurse Practitioner 140 Arbor Dr, San Diego, CA 92103-2007 2020-01-28
1699315473 Maya Devonne Carroll Nurse Practitioner 7488 Calzada De La Fuente, San Diego, CA 92154-2717 2020-01-09
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92108

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Dataset Information

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.

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