Elaine DO, MSN, APRN, PMHNP-BC
NPI 1215696307 · Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1215696307
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 95019446 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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
Mailing address
Additional practice locations (3)
- 4305 University Ave Ste 150San Diego, CA 92105-1690Phone: (619) 280-2058
- 3020 Childrens WaySan Diego, CA 92123-4223Phone: (858) 576-1700
- 4510 Executive Dr Ste 315San Diego, CA 92121-3029Phone: (858) 534-8019
Registry dates
- Enumerated
- 2021-12-15
- Last updated
- 2022-12-07
- Certified
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.