Organization · Type 2 NPI

Coastal Psychiatric Medical Associates, Inc.

Child & Adolescent Psychiatry Physician · San Diego, CA

NPI number 1851405765 Active

Practice location

12520 High Bluff Dr, Suite 120
San Diego, CA 92130-2041

Fax (858) 581-5788

Mailing address

1959 Grand Ave, Suite A
San Diego, CA 92109-4511

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XPSY 20859 (CA)
Clinical Social Worker 1041C0700XLCS 21909 (CA)
Clinical Social Worker 1041C0700XLCS18331 (CA)
Clinical Social Worker 1041C0700XLCS 17640 (CA)
Clinical Social Worker 1041C0700XLCS 21666 (CA)
Clinical Social Worker 1041C0700XLCS 18149 (CA)
Marriage & Family Therapist 106H00000XMFC 24183 (CA)
Marriage & Family Therapist 106H00000XMFC 19749 (CA)
Marriage & Family Therapist 106H00000XMFC 41302 (CA)
Marriage & Family Therapist 106H00000XMFC 35861 (CA)
Child & Adolescent Psychiatry Physician Primary 2084P0804XG64571 (CA)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1851405765

Coastal Psychiatric Medical Associates, Inc.'s National Provider Identifier is 1851405765, issued on Aug 18, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in San Diego, CA. The record was last updated on Sep 11, 2025.