OrganizationActive
Include Autism, Inc.
NPI 1093041600 · Community/Behavioral Health Agency · San Diego, CA
Provider details
- NPI number
- 1093041600
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tina Waters, Executive Director(858) 603-9835
Specialties & taxonomies
Agencies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
625 Pennsylvania Ave
San Diego, CA 92103-4321
Phone: (858) 603-9835
Fax: (619) 255-2739
Street-level locationGet directions
Mailing address
Po Box 720072
San Diego, CA 92172-0072
Additional practice locations (1)
- 15318 Pomerado RdPoway, CA 92064-2436Phone: (858) 603-4812
Registry dates
- Enumerated
- 2009-11-02
- Last updated
- 2018-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.