Organization · Type 2 NPI

County O San Diego

Community/Behavioral Health Agency · San Diego, CA

NPI number 1396898474 Active

Practice location

2901 Meadow Lark Dr
San Diego, CA 92123-2711

Fax (858) 694-4492

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: 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 suppo…

20 other providers at this address

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NPI record

NPI: 1396898474
Entity type: Organization (Type 2)
Issued: Jan 19, 2007
Last updated: Oct 28, 2025
Status: Active
Subpart: Yes of County of San Diego

Other names

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Juvenile Forensic Services · doing business as
Next Move Southeastern LWC · doing business as

Authorized official

Mr. Luke Bergmann, PhD
Director, Behavior Health Services
(619) 563-2700

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396898474

County O San Diego's National Provider Identifier is 1396898474, issued on Jan 19, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 28, 2025.