| Open Mind Mental Health Physicians, Inc. | |
|
3252 Holiday Ct Ste 204 La Jolla CA 92037-1808 | |
| (855) 550-6463 | |
| (833) 343-2244 |
| Full Name | Open Mind Mental Health Physicians, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 3252 Holiday Ct Ste 204, La Jolla, California |
| Authorized Official Name and Position | Kerry D Kozuki (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9802240959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Mind Mental Health Physicians, Inc. Po Box 1429 Salisbury NC 28145-1429 Ph: (206) 724-1722 | Open Mind Mental Health Physicians, Inc. 3252 Holiday Ct Ste 204 La Jolla CA 92037-1808 Ph: (855) 550-6463 |
| NPI Number | 1093454423 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 07/02/2026 |
| Certification Date | 07/02/2026 |
| Medicare PECOS PAC ID | 2264975580 |
|---|---|
| Medicare Enrollment ID | O20240614002474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093454423 | NPI | - | NPPES |
| Provider Name | Jodi A Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497422539 PECOS PAC ID: 1153864228 Enrollment ID: I20240617003497 |
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