San Diego State University - Healthy Early Years Clinic
NPI 1124849658 · Counselor · San Diego, CA
San Diego State University - Healthy Early Years Clinic is a Counselor organization in San Diego, CA (NPI 1124849658).
Provider details
- NPI number
- 1124849658
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Parent organization
- San Diego State University
- Organization subpart
- Yes
- Authorized official
- Agnes Wong Nickerson, Associate Vp of Financial Operation(619) 594-6017
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2024-10-17
Frequently asked questions
- What is San Diego State University - Healthy Early Years Clinic's NPI number?
- San Diego State University - Healthy Early Years Clinic's National Provider Identifier (NPI) is 1124849658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Diego State University - Healthy Early Years Clinic?
- San Diego State University - Healthy Early Years Clinic is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is San Diego State University - Healthy Early Years Clinic located?
- San Diego State University - Healthy Early Years Clinic's practice location on file with NPPES is 4283 El Cajon Blvd, San Diego, CA 92105.
- What is San Diego State University - Healthy Early Years Clinic's phone number?
- The practice phone number listed in the NPPES registry for San Diego State University - Healthy Early Years Clinic is (619) 530-0122.
- Who is the authorized official for San Diego State University - Healthy Early Years Clinic?
- The authorized official listed on San Diego State University - Healthy Early Years Clinic's NPPES record is Agnes Wong Nickerson, Associate Vp of Financial Operation. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Diego State University - Healthy Early Years Clinic's NPI active?
- Yes — San Diego State University - Healthy Early Years Clinic's NPI (1124849658) is active in the NPPES registry as of the last update on 2024-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.