IndividualActive
Ellisa Blodgett
NPI 1194510651 · Behavior Technician · San Diego, CA
Ellisa Blodgett is a Behavior Technician provider in San Diego, CA (NPI 1194510651).
Provider details
- NPI number
- 1194510651
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 25-428246 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
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
2820 Camino Del Rio S Ste 100
San Diego, CA 92108-3822
Phone: (858) 264-5858
Fax: (858) 649-6012
Street-level locationGet directions
Mailing address
18700 Caminito Pasadero
San Diego, CA 92128-1082
Registry dates
- Enumerated
- 2025-04-14
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Frequently asked questions
- What is Ellisa Blodgett's NPI number?
- Ellisa Blodgett's National Provider Identifier (NPI) is 1194510651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellisa Blodgett's specialty?
- Ellisa Blodgett is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Ellisa Blodgett located?
- Ellisa Blodgett's practice location on file with NPPES is 2820 Camino Del Rio S Ste 100, San Diego, CA 92108-3822.
- What is Ellisa Blodgett's phone number?
- The practice phone number listed in the NPPES registry for Ellisa Blodgett is (858) 264-5858.
- Is Ellisa Blodgett's NPI active?
- Yes — Ellisa Blodgett's NPI (1194510651) is active in the NPPES registry as of the last update on 2025-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.