Intricate Mind Institute, Llc

LBN: Intricate Mind Institute, Llc
Intricate Mind Institute, Llc is an health care organization with primary practice located at 3990 Old Town Ave Ste A207 , San Diego CA 92110-2967. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Cognitive & Behavioral is the primary health care specialty. Intricate Mind Institute, Llc can be contacted via phone (858) 205-9809, or through Baker-Ericzen, Mary J via phone (858) 205-9809.

Contact Information

Primary practice address
3990 Old Town Ave Ste A207 San Diego CA 92110-2967
Phone: (858) 205-9809
Fax: (858) 205-9809
Website:
Map and Directions
Authorized official contact:
Name: Baker-Ericzen, Mary J PH.D.
Phone: (858) 205-9809

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY17553 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PSY23448 California

Profile Details

NPI number 1457638124
LBN Legal business name Intricate Mind Institute, Llc
DBA Doing business as
Authorized official Baker-Ericzen, Mary J PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2011
Last updated Nov 9th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers