COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC. (NPI# 1851405765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851405765 |
| Entity Type | Organization |
| Organization Name | COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC. |
| Other Organization Name | COASTAL MANAGEMENT SERVICE ORGANIZATION |
| Practice Address |
12520 High Bluff Dr Suite 120 San Diego CA 92130-2041 |
| Mailing Address |
1959 Grand Ave Suite A San Diego CA 92109-4511 |
| Practice Telephone | 8584054423 |
| Practice Fax Number | 8585815788 |
| Mailing Telephone | 8584054423 |
| Mailing Fax Number | 8585815788 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT JAY SOLOMON (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8584054423 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 20859 | CA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 21909 | CA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
LCS18331 | CA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 17640 | CA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 21666 | CA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 18149 | CA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MFC 24183 | CA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MFC 19749 | CA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MFC 41302 | CA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MFC 35861 | CA | Behavioral Health & Social Service Providers |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G64571 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Coastal Management Service Organization | Other Name - Individual/Organization |
| Street Address |
12520 HIGH BLUFF DR SUITE 120 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-2041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518908680 | Stacey A Goodman Eaton | Social Worker | 12520 High Bluff Dr, Ste 135, San Diego, CA 92130-3066 | 2006-06-09 |
| 1245771260 | Falcone Institute, Educational Child and Family Therapist | Speech-Language Pathologist | 12520 High Bluff Dr, Suite 100, San Diego, CA 92130-2041 | 2017-03-09 |
| 1861635351 | Madeline Falcone | Marriage & Family Therapist | 12520 High Bluff Dr, Ste 100, San Diego, CA 92130-2041 | 2009-04-13 |
| 1770764326 | Alexander C Green | Psychiatry & Neurology | 12520 High Bluff Dr, Ste 375, San Diego, CA 92130 | 2007-11-23 |
| 1033306071 | Steven Parker James | Psychiatry & Neurology | 12520 High Bluff Dr, Suite 120, San Diego, CA 92130-2041 | 2007-10-03 |
| 1629296140 | Michele Laks London | Social Worker | 12520 High Bluff Dr, #135, San Diego, CA 92130-2041 | 2007-04-22 |
| 1699896365 | Rene Lee Williamson | Counselor | 12520 High Bluff Dr, Suite 120, San Diego, CA 92130-2041 | 2007-04-02 |
| 1366562332 | Jason Stuart Schildhaus | Counselor | 12520 High Bluff Dr, Suite 120, San Diego, CA 92130-2041 | 2007-03-30 |
| 1285720441 | Susan Reiner Erman | Psychiatry & Neurology | 12520 High Bluff Dr, 135, San Diego, CA 92130-2041 | 2006-10-05 |
| 1689780512 | David James Seitz | Psychiatry & Neurology | 12520 High Bluff Dr, Suite 135, San Diego, CA 92130-2041 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
| Find all providers in SAN DIEGO | ||||
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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.