BOTKISS CENTER FOR TMS THERAPY (NPI# 1598189375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598189375 |
| Entity Type | Organization |
| Organization Name | BOTKISS CENTER FOR TMS THERAPY |
| Practice Address |
12625 High Bluff Dr Suite 312 San Diego CA 92130-2052 |
| Mailing Address |
Po Box 712878 San Diego CA 92171-2878 |
| Practice Telephone | 6192917100 |
| Practice Fax Number | 6192955044 |
| Mailing Telephone | 6192944119 |
| Mailing Fax Number | 6192955044 |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |
| Authorized Official Name | DR. PHILIP HENRY BOTKISS (DOCTOR) |
| Authorized Official Telephone | 6192917100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A43273 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12625 HIGH BLUFF DR SUITE 312 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851900 | Lagasse Yates, Inc | Psychologist | 12625 High Bluff Dr, Suite 206, San Diego, CA 92130-2052 | 2006-05-24 |
| 1659877611 | Rachel Beaubier | Registered Nurse | 12625 High Bluff Dr, San Diego, CA 92130-2052 | 2018-03-30 |
| 1609284769 | Katie Tiemeyer | Speech-Language Pathologist | 12625 High Bluff Dr, Suite 105, San Diego, CA 92130-2052 | 2014-07-31 |
| 1386056240 | Caroline Morin | Psychiatry & Neurology | 12625 High Bluff Dr, Suite 305, San Diego, CA 92130-2052 | 2014-05-27 |
| 1760826705 | Deborah G Mishek | Pediatrics | 12625 High Bluff Dr, Suite 302, San Diego, CA 92130-2052 | 2013-04-22 |
| 1457604639 | Kris Gremillion | Speech-Language Pathologist | 12625 High Bluff Dr, Suite 113, San Diego, CA 92130-2052 | 2012-10-24 |
| 1477836856 | Jonathan Ortiz | Social Worker | 12625 High Bluff Dr, Suite 305, San Diego, CA 92130-2052 | 2011-09-22 |
| 1376830331 | Kimberly Ducker | Specialist/Technologist | 12625 High Bluff Dr, Suite #113, San Diego, CA 92130-2052 | 2011-06-28 |
| 1083948046 | Jacqueline Michelle Gamboa | Psychologist | 12625 High Bluff Dr, Suite 114, San Diego, CA 92130-2052 | 2009-09-23 |
| 1770711442 | Minoa K Chang | Psychologist | 12625 High Bluff Dr, Suite 316, San Diego, CA 92130-2052 | 2009-07-01 |
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| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255951620 | Dymphna San Diego Tms Inc | Psychiatry & Neurology | 10850 Baroque Ln Ste A, San Diego, CA 92124-3029 | 2020-04-25 |
| 1316581846 | Botkiss Center for Recovery | Psychiatry & Neurology | 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 | 2019-10-28 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1629501770 | Amanda Suzette Freitas | Psychiatry & Neurology | 11634 Maroon Peak Ct, San Diego, CA 92131-3846 | 2017-04-06 |
| 1114312147 | Jaclyn Joyce | Psychiatry & Neurology | 3344 4th Ave Ste 100, San Diego, CA 92103-5704 | 2015-04-07 |
| 1326433525 | Azin Khazaeli | Psychiatry & Neurology | 4445 Eastgate Mall Fl 2, San Diego, CA 92121-1979 | 2015-04-03 |
| 1083054639 | Kiran Sufian Munir | Psychiatry & Neurology | 8170 Miramar Rd, San Diego, CA 92126-4321 | 2013-06-27 |
| 1457799462 | Charles Howard Merideth | Psychiatry & Neurology | 8889 Rio San Diego Dr, Suite 103, San Diego, CA 92108-1670 | 2013-06-12 |
| 1114363876 | Safi Ahmed | Psychiatry & Neurology | 200 W Arbor Dr # 8809, San Diego, CA 92103-1911 | 2013-05-21 |
| 1639515364 | Paul Joseph Smith | Psychiatry & Neurology | 12520 High Bluff Dr Ste 135, San Diego, CA 92130 | 2013-05-21 |
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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.