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Coastal Psychiatric Medical Associates, Inc.
Child & Adolescent Psychiatry Physician in San Diego, California
NPI 1851405765

Coastal Psychiatric Medical Associates, Inc. is a Child & Adolescent Psychiatry Physician based in San Diego, CA and is specialized in Child & Adolescent Psychiatry. Coastal Psychiatric Medical Associates, Inc. practices in San Diego, CA. The NPI Number for Coastal Psychiatric Medical Associates, Inc. is 1851405765 and holds a License No. PSY 20859 (California).

The current practice location address for Coastal Psychiatric Medical Associates, Inc. is 12520 High Bluff Dr, San Diego, CA and can be reached out via phone at 858-405-4423 and via fax at 858-581-5788.

Location: 12520 High Bluff Dr, San Diego, CA, 92109-4511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851405765
Provider Name
Coastal Psychiatric Medical Associates, Inc.
Credential
Provider Entity Type
Organization
Address
12520 High Bluff Dr, San Diego, CA, 92109-4511
Phone Number
858-405-4423
Fax Number
858-581-5788
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12520 High Bluff Dr
City
San Diego
State
California
Zip
92130-2041
Phone Number
858-405-4423
Fax Number
858-581-5788
person
Provider Business Mailing Address Details
Address
12520 High Bluff Dr
City
San Diego
State
California
Zip
92130-2041
Phone Number
858-405-4423
Fax Number
858-581-5788
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LCS 17640 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LCS18331 (California)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
LCS 21909 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
PSY 20859 (California)
Definition
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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