FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the...

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COMMONLY ASKED QUESTIONS: * Should I see a therapist or a psychiatrist? Find out which is right for you by calling 1-888-724-7240 to speak to a licensed clinician that can assist you to find the best fit for you or your family member. You may call this number 24 hours a day, 7 days a week in any language of your preference. If you prefer to connect via chat you can go to: www.optumsandiego.com to chat with a counselor Monday through Friday from 4pm to 10pm. San Diego Access and Crisis Line clinicians can assist you to find a provider to meet your needs. * What types of behavioral health professionals are included in the Behavioral Health FFS Network? We have different types of providers in our network that provide a variety of services to meet your behavioral health needs. A description of the types of providers and the services they provide are listed below. Masters Level Clinician: Masters Level Clinicians have Master’s degree in one of the following mental health disciplines: Social Work, Professional Counseling, Marriage and Family Therapy, Psychology, or diagnosis, and therapy for behavioral health conditions. In some cases, they may recommend that you consult with a psychiatrist, primary care physician or nurse practitioner to evaluate whether medication could contribute to achieving the best outcome. Psychologist: Psychologists generally have doctoral degrees in the area of educational, child, clinical or counseling psychology. Psychologists are independent practitioners licensed in the state in which they health conditions. Psychiatrist (Physician): Psychiatrists are Medical Doctors that specialize in psychiatry. They are licensed in the state in which they practice and most are Board Certified in their specialty. They are commonly known as M.D.s or D.O.s. Most often they conduct a thorough evaluation and may prescribe medications, then monitor the effects of the medications. Some psychiatrists also conduct therapy. Some psychiatrists have sub-specialties in the area of child psychiatry, adolescent psychiatry, addictions or geriatrics. If you are interested in a psychiatrist who has a specialty be sure to inquire as to whether or not they have been trained in that specialty. Psychiatric Nurse Practitioner (PNP): PNPs also called Mental Health Nurse Practitioners have master’s or doctoral degrees in psychiatric-mental health nursing. These individuals are independent COUNTY OF SAN DIEGO, HEALTH AND HUMAN SERVICES AGENCY BEHAVIORAL HEALTH FEE FOR SERVICE PROVIDER DIRECTORY The County of San Diego, Health and Human Services Agency Behavioral Health Services administers Children, Youth and Families Behavioral Health Services. This provider directory describes the services currently funded by the County of San Diego through the Fee for Service (FFS) Network. Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES III Fee-For-Service Provider Directory Prepared By Optum PS SD Date Run 8/15/2016 Page: 1 of 81 If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week. County of San Diego Behavioral Health Services Fee-For-Service Provider Directory Sorted by Region

Transcript of FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the...

Page 1: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

COMMONLY ASKED QUESTIONS:

* Should I see a therapist or a psychiatrist?

Find out which is right for you by calling 1-888-724-7240 to speak to a licensed clinician that can assist you to find the best fit for you or your family member. You may call this number 24 hours a day, 7 days a week in any language of your preference.

If you prefer to connect via chat you can go to: www.optumsandiego.com to chat with a counselor Monday through Friday from 4pm to 10pm.

San Diego Access and Crisis Line clinicians can assist you to find a provider to meet your needs.

* What types of behavioral health professionals are included in the Behavioral Health FFS Network?

We have different types of providers in our network that provide a variety of services to meet your behavioral health needs. A description of the types of providers and the services they provide are listed below.

Masters Level Clinician: Masters Level Clinicians have Master’s degree in one of the following mental health disciplines: Social Work, Professional Counseling, Marriage and Family Therapy, Psychology, or Nursing. These individuals are independently licensed in the state in which they practice. They are commonly known as LCSW’s, LMFTs, or LPCCs. They provide various services including assessment, diagnosis, and therapy for behavioral health conditions. In some cases, they may recommend that you consult with a psychiatrist, primary care physician or nurse practitioner to evaluate whether medication could contribute to achieving the best outcome.

Psychologist: Psychologists generally have doctoral degrees in the area of educational, child, clinical or counseling psychology. Psychologists are independent practitioners licensed in the state in which they practice. They are commonly known as Psy.D or Ph.Ds. They provide a variety of services including assessments, psychological testing for diagnostic purposes, and most offer therapy services for behavioral health conditions.

Psychiatrist (Physician): Psychiatrists are Medical Doctors that specialize in psychiatry. They are licensed in the state in which they practice and most are Board Certified in their specialty. They are commonly known as M.D.s or D.O.s. Most often they conduct a thorough evaluation and may prescribe medications, then monitor the effects of the medications. Some psychiatrists also conduct therapy. Some psychiatrists have sub-specialties in the area of child psychiatry, adolescent psychiatry, addictions or geriatrics. If you are interested in a psychiatrist who has a specialty be sure to inquire as to whether or not they have been trained in that specialty.

Psychiatric Nurse Practitioner (PNP): PNPs also called Mental Health Nurse Practitioners have master’s or doctoral degrees in psychiatric-mental health nursing. These individuals are independent practitioners licensed in the state in which they practice. They can provide services similar to a psychiatrist including assessments, diagnosis, and may provide treatment through medication management and therapeutic interventions.

COUNTY OF SAN DIEGO, HEALTH AND HUMAN SERVICES AGENCY BEHAVIORAL HEALTH FEE FOR SERVICE PROVIDER DIRECTORY

The County of San Diego, Health and Human Services Agency Behavioral Health Services administers Children, Youth and Families Behavioral Health Services. This provider directory describes the services currently funded by the County of San Diego through the Fee for Service (FFS) Network.

Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network.

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 1 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 2: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

The San Diego Access and Crisis Line (ACL) is operated by OptumHealth and has offered San Diego County residents free, confidential counseling and community resources since 1997.

Free, confidential support in all languages7 days a week / 24 hours a dayWe are here for you!

888-724-7240619-641-6992 TTY

About Our Services• Free, confidential support in all languages• Crisis Intervention• Suicide Prevention• Referrals for mental health and/or alcohol and drug needs• Referrals to other related resources

Who Can Call• Anyone who is struggling with issues such as depression, anxiety, loss or anger• Family members or friends who are concerned about someone• People who are thinking about harming themselves or others• Professionals seeking resources for their clients

Psychiatric Nurse Practitioner (PNP): PNPs also called Mental Health Nurse Practitioners have master’s or doctoral degrees in psychiatric-mental health nursing. These individuals are independent practitioners licensed in the state in which they practice. They can provide services similar to a psychiatrist including assessments, diagnosis, and may provide treatment through medication management and therapeutic interventions. * Where can I report inaccuracies in the Behavioral Health FFS Network provider directory?

California residents may report possible inaccurate, incomplete or misleading information listed in the provider directory by calling 1-800-798-2254 Option #7, or emailing [email protected].

* How can I obtain a free printed version of the Behavioral Health FFS Network provider directory?

For California Residents Only: If you are unable to print a copy of the provider directory from this website, please call 1-800-798-2254 Option #7 to request a printed copy of providers in your area or e-mail [email protected]. To request a copy in writing send a request to this address: Optum Public Sector Division P.O. Box 601340 San Diego, CA 92160-1340.

For members outside of California: Please check with your provider before scheduling your appointment or receiving services to confirm that the provider is participating in our network.

* Who do I contact if I need Language Interpreter Services?

Language Interpreter Services 1-800-798-2254 Option #7 or call the number on your member identification card. Language interpretation services are available at no cost to the member.

Provider information contained in this directory is updated weekly at a minimum, but may have changed since the last update.

American Disabilities Act Notice: In accordance with the requirements of federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), we provide full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 2 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 3: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Alarcon (Gallegos), Linda MFT 1861692337 MFC44111 AssessmentIndividual Therapy

Family Therapy

Spanish AdolescentsAdults

Children (6-12)Older Adults

4060 Fairmount AveSan Diego, CA 92105

(619)564-8765

Closed

Allen, Ami MFT 1215355953 MFC78372 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Transitional Youth

4080 Centre St Ste 105San Diego, CA 92103

(619)543-9850

Closed

4080 Centre St Ste 104San Diego, CA 92103

(619)543-9850

Closed

Allen, Mark Ph.D. 1922042886 PSY11665 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

3636 Fourth Ave Ste 302San Diego, CA 92103

(619)685-2736

Open

Atkinson, Joseph M.D. 1467477653 G25819 Outpatient Treatment AdultsOlder Adults

4168 Front StSan Diego, CA 92103

(619)543-5733

Closed

Becker, Olga M.D. 1083644710 A72614 AssessmentMedication Management

Inpatient TreatmentMedication Evaluation

Russian AdultsOlder Adults

200 West ArborSan Diego, CA 92103

(619)543-6369

Closed

Benbow, Christopher M.D. 1205924503 A48016 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

Adults 446 26th St Fl 6San Diego, CA 92102

(619)481-5252

Open

Berger, Carolyn Ph.D. 1902181175 PSY10038 AssessmentIndividual Therapy

Family TherapyInpatient Treatment

Outpatient TreatmentCritical Incident Stress Debriefing

AdultsOlder Adults

2214 Fifth AveSan Diego, CA 92105

(619)289-7484

Open

Berkenstadt, Edon MFT 1376919118 MFC86974 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Critical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

5100 Marlborough Dr Ste 103San Diego, CA 92116

(619)980-1420

Open

Bernet, Christine Ph.D. 1891783288 PSY15679 Individual Therapy AdolescentsAdults

2031 Second AveSan Diego, CA 92101

(619)699-8443

Closed

Bhatti, Tahir M.D. 1518915487 A54139 AdultsOlder Adults

200 W Arbor DrSan Diego, CA 92103

(619)471-0287

Closed

Blaess, Daniel Ph.D. 1972572253 PSY17107 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Older Adults

2760 5th Ave Ste 205San Diego, CA 92103

(619)804-1669

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

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If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 4: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Bobadilla, Estela MFT 1760679849 MFC47743 Family TherapyGroup Therapy

Spanish AdolescentsAdults

2729 Fourth Ave Ste 3San Diego, CA 92103

(619)370-7545

Open

Bratton, Elene MFT 1386776003 MFC34662 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

Call Provider to obtain mailing address

San Diego, CA 92105(619)322-0028

Open

Buis, Kurt Psy.D. 1871526822 PSY14714 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

3101 4th AveSan Diego, CA 92103

(619)987-6895

Open

Cabrejos, Claudio M.D. 1033133483 A71653 AssessmentIndividual Therapy

Group TherapyMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

PortugueseSpanish

AdolescentsAdults

Older Adults

823 Gateway Center WySan Diego, CA 92102

(619)260-7005

Closed

Campbell, Leslie LCSW 1275722969 LCS28096 Home Visits AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

525 B St Ste 1500San Diego, CA 92101

(619)820-7770

Open

Chambers, Norman Ph.D. 1023185824 PSY4651 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

2630 B StSan Diego, CA 92102

(619)239-0408

Open

Champagne, Nicole LCSW 1760785620 LCS25014 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

1835 El Cajon Blvd Ste ASan Diego, CA 92103

(619)993-1818

Closed

Chaudhri, Yashwant M.D. 1043258429 A67679 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

AdolescentsAdults

Older Adults

4537 College AveSan Diego, CA 92115

(619)229-1895

Closed

Colamussi, Angel MFT 1740327378 MFC44234 Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

3821 Front StSan Diego, CA 92103

(619)253-4496

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 4 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 5: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Conway, Annette Psy.D. 1003852120 PSY19997 Psychological TestingHome VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

3636 4th Ave Ste 302San Diego, CA 92103

(858)342-0948

Open

Corbett, Kimberly Psy.D. 1235239823 PSY21669 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)

4411 30th St Ste 101San Diego, CA 92116

(619)298-2098

Open

Dehnel, Russell Ph.D. 1346526274 PSY12603 AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

5952 El Cajon BlvdSan Diego, CA 92115

(619)286-9052

Open

Deignan, Patricia LCSW 1679630776 LCS21861 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

2496 E Street Ste 2FSan Diego, CA 92102

(619)723-9244

Open

Demmler, Katherine LCSW 1700069341 LCS27751 Home VisitsAssessment

Individual TherapyFamily Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

4080 Centre St Ste 103San Diego, CA 92103(619)543-9850x1243

Open

Derrick, John Ph.D. 1487768016 PSY11156 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

AdolescentsAdults

Older Adults

5106 Federal Blvd Ste 107San Diego, CA 92105

(619)263-4625

Open

Deutsch, Nancy LCSW 1013169390 LCS 11547 Individual Therapy AdolescentsAdults

Children (0-5)Children (6-12)

1238 Cypress AveSan Diego, CA 92103

(619)295-1175

Open

Dooling, Sarah LCSW 1548338205 LCS28508 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

2630 First Ave Ste 204San Diego, CA 92103

(858)429-5285

Open

Ellis-Hernandez, Katherine Ph.D. 1063716058 PSY24263 Psychological Testing AdolescentsAdults

Children (6-12)Transitional Youth

2801 Fourth AveSan Diego, CA 92103

(888)497-1314

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 5 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 6: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Engelhorn, H. Douglas M.D. 1649496902 G13881 AssessmentIndividual Therapy

Family TherapyMedication ManagementOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Older Adults

2740 First AveSan Diego, CA 92103

(619)233-1614

Closed

Esparza, Ezequiel M.D. 1356375497 A54507 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

Spanish Adults 2204 National AveSan Diego, CA 92113

(619)992-0984

Closed

Ewing, Janice MFT 1720205602 MFC38568 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

3636 Fifth Ave Ste 203San Diego, CA 92103

(619)890-0265

Closed

Flanagan, Thomas M.D. 1154361061 G24638 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

AdolescentsAdults

Older Adults

11878 Avenue of IndustrySan Diego, CA 92158

(858)987-3200

Closed

Fodor, Jessica MFT 1083830327 MFC35431 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

1527 W Lewis StSan Diego, CA 92103

(619)717-6299

Open

Foster, Eloise Ph.D. 1154541852 PSY17446 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Older Adults

3010 First AveSan Diego, CA 92103

(619)299-8280

Open

Franey, Kristina Psy.D. 1972603447 PSY19506 Psychological TestingAssessment

AdolescentsChildren (6-12)

Transitional Youth

3919 4th Ave Ste BSan Diego, CA 92103

(619)241-3165

Open

Giancola, Michael MFT 1982034831 MFC53346 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

3636 Fifth Ave Ste 300San Diego, CA 92103

(619)964-8288

Open

Gilbert, Dora MFT 1558492504 MFC50132 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

4080 Centre St Ste 104San Diego, CA 92103

(619)543-9850

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 6 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 7: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Gold, Jerry (Jerrald) Ph.D. 1649324500 PSY9262 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

4077 Fifth AveSan Diego, CA 92103

(619)260-7111

Closed

Goldman, Marcie Ph.D. 1427150879 PSY14404 Psychological TestingAssessment

Individual TherapyOutpatient Treatment

AdultsOlder Adults

4452 Park Blvd Ste 101San Diego, CA 92116

(619)624-6303

Open

Graham, Debra PNP 1790757623 15657 Home VisitsAssessment

Family TherapyGroup Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Older AdultsTransitional Youth

4537 College AveSan Diego, CA 92115

(619)229-1895

Open

Grant, C. Marcia MFT 1457527798 MFC53468 Adolescents 5106 Federal Blvd Ste 205San Diego, CA 92105

(858)848-0758

Closed

Green, Elizabeth Ph.D. 1013917368 PSY15277 AssessmentIndividual Therapy

Outpatient Treatment

Mandarin Chinese AdultsOlder Adults

3921 Goldfinch StSan Diego, CA 92103

(619)260-0335

Open

Greene, Ida MFT 1235270935 MFC14774 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

2910 Baily AveSan Diego, CA 92105

(619)262-9951

Open

Greene, Nancy Ph.D. 1730240474 PSY6176 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

2442 4th Ave Ste 200San Diego, CA 92101

(619)234-1988

Open

Grelotti, David M.D. 1619003035 133738 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

200 W Arbor DrSan Diego, CA 92103

(619)543-3995

Closed

Griffith-Tate, Elizabeth MFT 1063694834 MFC83318 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

3727 El Cajon Blvd, Ste 416San Diego, CA 92105

(619)665-7925

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 7 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 8: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Guinn, Johnny MFT 1356409395 MFC47578 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

2911 Adams Ave Ste 17San Diego, CA 92116

(619)228-1715

Open

Hadley, Allison M.D. 1710027396 A97797 Adults 200 West ArborSan Diego, CA 92103

(619)543-6369

Closed

Harley, Kasimu MFT 1447475579 MFC29988 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

3115 Altadena AveSan Diego, CA 92105

(619)829-9140

Open

Harrington, Ronald M.D. 1194712380 A23347 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

3745 4th AveSan Diego, CA 92103

(619)297-0031

Closed

Heidenfelder, Richard M.D. 1700984911 A79836 AdolescentsChildren (0-5)Children (6-12)

447 9th AveSan Diego, CA 92101

(619)435-4088

Closed

Helinski, Linda Ph.D. 1699801134 PSY9785 Assessment AdolescentsAdults

Children (0-5)Children (6-12)

3225 4th AveSan Diego, CA 92103

(619)297-7181

Closed

Hessling, Thomas M.D. 1972659191 G39433 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdultsOlder Adults

106 Thorn StSan Diego, CA 92103

(619)297-4241

Closed

Hillyard, Martha Ph.D. 1992848089 PSY7214 Spanish Children (0-5)Children (6-12)

3576 Third AvenueSan Diego, CA 92103

(619)295-2749

Closed

Ishaque, Saleem M.D. 1033124730 A36997 Medication ManagementInpatient Treatment

Outpatient Treatment

AdultsOlder Adults

550 Washington St Ste 635San Diego, CA 92103

(619)564-8124

Closed

Jackson, Robert Ph.D. 1396865804 PSY15127 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdultsOlder Adults

5922 El Cajon BlvdSan Diego, CA 92115

(619)583-1542

Closed

Johnston, Stacy Ph.D. 1063569135 PSY17457 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

501 W Broadway Ste 800San Diego, CA 92101

(619)778-7215

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 8 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 9: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Juan, Michael Ph.D. 1144350315 PSY25664 Outpatient Treatment AdultsOlder Adults

Transitional Youth

2496 E St Ste 2ASan Diego, CA 92102

(619)407-9424

Open

Kazanchi, Hala M.D. 1316244841 A126947 AssessmentMedication Management

Inpatient TreatmentMedication Evaluation

Arabic AdolescentsAdults

Older Adults

4077 5th AveSan Diego, CA 92103

(619)948-0944

Closed

Kelley, Maria Teresa LCSW 1649365438 LCS22990 AssessmentIndividual Therapy

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

306 Upas StSan Diego, CA 92103

(619)884-0118

Open

Koljonen, April Psy.D. 1184823916 PSY24047 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Spanish AdultsChildren (6-12)

Older AdultsTransitional Youth

2801 Fourth AveSan Diego, CA 92103

(619)308-6424

Closed

Kramer, Lindsay MFT 1669773784 MFC53382 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Older Adults

1527 W Lewis St Ste BSan Diego, CA 92103

(619)491-0080

Open

Kramer, Shelley Ph.D. 1124149224 PSY4219 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

3368 2nd Ave Ste #ISan Diego, CA 92103

(619)295-2095

Open

Kunin, Julie Ph.D. 1225136278 PSY16703 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

211 W Robinson AveSan Diego, CA 92103

(619)787-4406

Closed

Lehman, Francesca Psy.D. 1790105070 PSY23542 Psychological TestingAssessment

AdolescentsAdults

Older AdultsTransitional Youth

3919 4th Ave Ste BSan Diego, CA 92103

(619)208-9777

Closed

Lian, Thomas M.D. 1770594616 G60506 Inpatient Treatment AdultsOlder Adults

4077 5th AveSan Diego, CA 92103

(619)294--8111

Closed

Loebenstein, Abraham Ph.D. 1013044734 PSY15631 Psychological Testing Hebrew AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

3937 9th Ave San Diego, CA 92103

(858)997-5855

Closed

Majeski, Michael Psy.D. 1932132735 PSY20174 Home Visits AdolescentsAdults

Children (6-12)

3914 Third AveSan Diego, CA 92103

(619)322-6976

Open

Malek, Kristina Ph.D. 1033277975 PSY25039 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

3919 Fourth Ave Ste BSan Diego, CA 92103

(619)231-2668x4

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 9 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 10: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Marin, Noel Ph.D. 1154464071 PSY10476 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

Critical Incident Stress Debriefing

AdolescentsAdults

Older Adults

4048 Alabama St Ste 1San Diego, CA 92104

(619)295-5631

Open

McClintock, Pete MFT 1164524054 MFC27356 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

3411 Third AveSan Diego, CA 92103

(619)299-0975

Open

McCutchan, Emily MFT 1689770943 MFC33065 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

3225 4th AveSan Diego, CA 92103

(619)682-7002

Closed

McKellogg Guajardo, Megan

Psy.D. 1952454043 PSY23450 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

1835 El Cajon Blvd Ste ASan Diego, CA 92103

(619)354-9081

Open

Meany, Krysta Psy.D. 1629483540 27556 AssessmentIndividual Therapy

Inpatient TreatmentOutpatient Treatment

AdultsOlder Adults

3344 4th Ave Ste 100San Diego, CA 92103

(858)357-6340

Open

Minagawa, Rahn Ph.D. 1669598785 PSY9854 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

3919 Fourth Ave Ste BSan Diego, CA 92103

(619)231-2668

Open

Minassian, Arpi Ph.D. 1003849613 PSY19639 Psychological TestingAssessment

Individual TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

Armenian AdolescentsAdults

Older AdultsTransitional Youth

200 West Arbor DrSan Diego, CA 92103

(619)543-3422

Closed

Miranda, Cynthia Psy.D. 1023186970 PSY21188 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

4060 Fairmount AveSan Diego, CA 92105

(619)564-8765

Open

Morais Parr, Melissa MFT 1215185392 MFC52656 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

4080 Centre St Ste 104San Diego, CA 92103

(619)543-9850x12431

Open

Morrison, Carrie Psy.D. 1700818820 PSY16021 AssessmentIndividual Therapy

Outpatient Treatment

AdultsOlder Adults

3579 4th Ave San Diego, CA 92103

(619)291-2085

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 10 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 11: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Murphy, Kim MFT 1093082349 MFC50674 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

6244 El Cajon Blvd Ste 3San Diego, CA 92115

(619)838-9460

Open

Nezhadian, Fariborz M.D. 1316030323 A50614 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

Farsi AdultsOlder Adults

5538 University AveSan Diego, CA 92105

(619)961-4583

Closed

Niday, Takeshia M.D. 1013339084 A113548 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

2760 Fifth Ave Ste 205San Diego, CA 92103

(619)327-0146

Closed

Nizamani, Saifullah M.D. 1972523389 A52218 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

200 W Arbor DrSan Diego, CA 92103

(619)543-1899

Closed

Norman, Marc Ph.D. 1922169101 PSY16278 Neuropsych. TestingPsychological Testing

AssessmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

200 W Arbor DrSan Diego, CA 92103

(619)543-2827

Closed

Ocampo-Giancola, Rocio MFT 1770908758 MFC50607 Group TherapyOutpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

3636 Fifth Ave San Diego, CA 92103

(619)838-0866

Closed

Papp, Alexander M.D. 1558387373 C51343 AssessmentIndividual Therapy

Medication ManagementMedication Evaluation

AdultsOlder Adults

200 W Arbor DrSan Diego, CA 92103

(619)453-6200

Closed

Perez, Josilyn MFT 1528109048 MFC49294 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

2729 Fourth Ave Ste 3San Diego, CA 92103

(619)500-3309

Closed

Perry, William Ph.D. 1801811195 PSY12229 Neuropsych. TestingPsychological Testing

AssessmentInpatient Treatment

Outpatient TreatmentCritical Incident Stress Debriefing

AdultsOlder Adults

200 W Arbor DrSan Diego, CA 92103

(619)543-2827

Open

Postlethwaite, Alejandra M.D. 1750566915 A88938 AssessmentMedication ManagementMedication Evaluation

SpanishTagalog

AdolescentsChildren (0-5)Children (6-12)

4060 Fairmount AveSan Diego, CA 92105

(619)564-8765

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 11 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 12: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Price, Devin MFT 1952431397 MFC45268 Home Visits AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

1086 Hayes AveSan Diego, CA 92103

(858)633-8510

Open

Renwick, Gordon Psy.D. 1679581953 PSY16183 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Italian AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

4656 30th StSan Diego, CA 92116

(619)218-9181

Open

Rich, Kiefer MFT 1881846061 MFC53627 Home VisitsIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

3636 5th AveSan Diego, CA 92103

(619)752-4666

Open

Rickard, Jennifer MFT 1942484571 MFC49200 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)

4417 30th St #101San Diego, CA 92116

(619)691-5058

Closed

2729 Fourth Ave Ste 3San Diego, CA 92103

(619)961-5058

Closed

Robinson, Cynthia MFT 1578782272 MFC40779 Home VisitsAssessment

Family TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

6244 El Cajon Blvd Ste 3San Diego, CA 92115

(619)203-9326

Open

Rowe, Angela LCSW 1194913996 LCS21162 Adolescents 3309 4th AveSan Diego, CA 92103

(858)699-8403

Closed

Ruyle, C. Allen LCSW 1083991996 LCS26809 AssessmentIndividual Therapy

Group Therapy

AdolescentsAdults

Older Adults

333 Olive StSan Diego, CA 92103

(619)213-3000

Open

Salone, Lavorial Ph.D. 1437103868 PSY18777 Individual TherapyGroup Therapy

AdultsOlder Adults

3636 Fourth Ave, Ste 302San Diego, CA 92103

(760)757-2749

Open

Sewell, Daniel M.D. 1740206804 A44259 AssessmentIndividual Therapy

Family TherapyMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

ECT (MD Only)

AdultsOlder Adults

200 W Arbor DrSan Diego, CA 92103

(619)543-3772

Closed

Seymour, Peter M.D. 1164598207 G49897 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

AdultsOlder Adults

4060 4th Ave Ste 445San Diego, CA 92103

(619)325-0200

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 12 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 13: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Shu, I-Wei M.D. 1992840144 A103813 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

Transitional Youth

200 W Arbor DrSan Diego, CA 92103

(858)534-6200

Closed

Silva, Christiana Ph.D. 1598955072 PSY21878 Home VisitsIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

1122 Broadway Ste 200San Diego, CA 92101

(619)415-7639

Open

Silva, Delia Psy.D. 1295963288 PSY22738 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Outpatient Treatment

Spanish AdultsOlder Adults

1901 1st Ave Ste 245San Diego, CA 92101

(858)964-0722

Closed

Staunton, James MFT 1821134677 MFC43811 Individual Therapy AdolescentsAdults

3636 4th Ave Ste 205San Diego, CA 92103

(619)203-6307

Open

Steiger, Louisa M.D. 1417106204 A111677 Inpatient Treatment Adults 140 Arbor DrSan Diego, CA 92103

(619)543-3995

Closed

Strauss, Kathleen Ph.D. 1154362184 PSY15765 AssessmentIndividual Therapy

Outpatient Treatment

AdultsOlder Adults

3914 Third AveSan Diego, CA 92103

(619)291-4808

Open

Strauss, Paul M.D. 1902840804 C25697 Individual TherapyInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

Spanish AdultsOlder Adults

3914 3rd AveSan Diego, CA 92103

(619)291-4808

Closed

Swarovski, Natalia M.D. 1861433252 A88189 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Russian AdultsOlder Adults

4060 Fairmount AveSan Diego, CA 92105

(619)564-8765

Closed

Tadros, Emad M.D. 1487696878 A49500 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdultsOlder Adults

4060 Fourth Ave Ste 102San Diego, CA 92103

(619)692-8118

Closed

Takamura, Michael M.D. 1992739338 A81208 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

446 26th St Fl 6San Diego, CA 92102

(619)481-5252

Open

Tando, Darlene LCSW 1134191182 LCS21699 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

3202 3rd Ave Ste 2San Diego, CA 92103

(619)948-8926

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 13 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 14: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Tata, Satya M.D. 1518086404 A98273 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

PO Box 609001San Diego, CA 92160

(619)528-4600

Closed

Torrente, Michael D.O. 1316957640 20A9080 Medication ManagementMedication Evaluation

Adults 3914 Third AveSan Diego, CA 92103

(619)291-4808

Closed

Trombley, Stephen MFT 1053694810 MFC46917 AssessmentIndividual Therapy

Family TherapyInpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

4080 Center St Ste 202San Diego, CA 92103

(619)341-2369

Open

Vella, Sylvia MFT 1396100442 MFC84380 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Critical Incident Stress Debriefing

AdultsOlder Adults

no longer hereSan Diego, CA 92101

(619)952-9835

Closed

Wasell, Marilee Ph.D. 1518993989 PSY20864 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Group TherapyOutpatient Treatment

French AdolescentsAdults

Children (6-12)Older Adults

3579 Fourth AveSan Diego, CA 92103

(619)200-3658

Closed

Wasil, Michelene MFT 1134534290 83533 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

AdultsChildren (6-12)

Older AdultsTransitional Youth

1086 Hayes AveSan Diego, CA 92103

(858)633-6389

Open

Wastrack, Angela LCSW 1689712747 LCS15626 Home VisitsAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

1835 El Cajon Blvd Ste ASan Diego, CA 92103

(619)851-1220

Open

Weiss, Roberto MFT 1487703476 MFC36060 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

2840 Adams Ave Ste 305San Diego, CA 92116

(619)691-1880

Open

Weissberg, Gary M.D. 1932125663 G35988 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

AdolescentsAdults

402 W Broadway Ste 950San Diego, CA 92101

(619)232-0905

Closed

Weltsch, Matthew Ph.D. 1225360613 PSY20348 Individual TherapyFamily Therapy

AdultsChildren (6-12)

Older AdultsTransitional Youth

3707 3rd AveSan Diego, CA 92103

(619)218-9032

Closed

3579 4th AveSan Diego, CA 92103

(619)218-9032

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 14 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 15: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Central Wilson, Larry LCSW 1528211232 LCS28901 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdultsOlder Adults

Transitional Youth

6244 El Cajon Blvd Ste 3San Diego, CA 92115

(619)873-5169

Open

Worrlein, Shawn LCSW 1588684880 LCS26835 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Transitional Youth

6025 Harps CtSan Diego, CA 92114

(619)302-9398

Closed

East Allee, Brandi MFT 1427392182 MFC87040 AssessmentIndividual Therapy

Family Therapy

AdultsChildren (0-5)Children (6-12)

Older AdultsTransitional Youth

2160 Fletcher Pkwy Ste MEl Cajon, CA 92020

(619)269-6986

Closed

Allen, John M.D. 1275658957 C37706 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdultsOlder Adults

7200 Parkway Dr Ste 113La Mesa, CA 91942

(619)631-4505

Closed

Alley, Julie Psy.D. 1124144274 PSY20616 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

5360 Jackson Dr Ste 104La Mesa, CA 91942

(619)228-3819

Closed

Avitea, Lorena LCSW 1659589588 LCS24378 AssessmentIndividual Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

8080 La Mesa Blvd Ste 209La Mesa, CA 91942

(619)884-8468

Open

Badger, Pamela MFT 1689711913 MFC18715 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

8355 La Mesa BlvdLa Mesa, CA 91942

(619)589-1456

Closed

Baratta, Peter LCSW 1619145232 LCS11506 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

7777 Alvarado Rd Ste 265La Mesa, CA 91942

(619)464-0411

Closed

Barreda Schurr, Cindy Psy.D. 1518152164 PSY24842 Psychological Testing Spanish AdolescentsAdults

Children (0-5)Children (6-12)

7339 El Cajon Blvd Ste JLa Mesa, CA 91942

(858)634-8380

Open

Bauer, Patricia Ph.D. 1407010663 PSY8095 AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

4700 Spring St Ste 204La Mesa, CA 91942

(619)922-2379

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 15 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 16: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Beal, Sandra MFT 1740314103 MFC80924 Individual TherapyFamily Therapy

Outpatient Treatment

ItalianSpanish

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

127 E Lexington AveEl Cajon, CA 92020

(619)828-5383

Open

Benitez, Cesar M.D. 1275738098 A107600 Inpatient Treatment Spanish AdultsOlder Adults

225 W Madison Ave Ste 2El Cajon, CA 92020

(619)447-1010

Closed

Bennett, Kate (Catherine) MFT 1861577967 MFC18154 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)

5480 Baltimore Drive Ste 103La Mesa, CA 91942

(619)823-0204

Open

Bhatia, Prakash M.D. 1164464137 A74848 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (6-12)Older Adults

161 E Main St Ste 100El Cajon, CA 92020

(619)631-0128

Closed

Boyce , Mariette Ph.D. 1831405869 PSY25424 AdolescentsChildren (0-5)Children (6-12)

Transitional Youth

12064 Woodside Ave Ste 105Lakeside, CA 92040

(619)512-9123

Open

Boychuk, Denise Psy.D. 1063540433 PSY23339 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Transitional Youth

8355 La Mesa BlvdLa Mesa, CA 91942

(619)203-0768

Closed

Bruno, Sam MFT 1801931852 MFC25362 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

152 W Park Ave #165El Cajon, CA 92020

(619)593-6072

Open

140 W Park Ave Ste 219El Cajon, CA 92020

(619)593-6072

Open

Buckenmeyer, Eric LCSW 1134332463 LCS16454 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

4700 Spring Street Ste 306La Mesa, CA 91942

(619)507-1322

Open

Byrne, Andrew MFT 1912213331 MFC53477 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

127 E Lexington AveEl Cajon, CA 92020

(619)573-0682

Open

Carstens, Christopher Ph.D. 1215924014 PSY5654 Psychological Testing AdolescentsChildren (6-12)

5360 Jackson Dr Ste 104La Mesa, CA 91942

(619)994-6464

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 16 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 17: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Chaudhri, Yashwant M.D. 1043258429 A67679 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

AdolescentsAdults

Older Adults

8770 Cuyamaca St Ste 4Santee, CA 92071

(619)596-9890

Closed

Chevalier, Donna MFT 1518106012 MFC45461 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

4700 Spring St Ste 307La Mesa, CA 91942

(619)328-1341

Open

Colgan, Sharon Ph.D. 1881704484 PSY12294 AssessmentIndividual Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

5575 Lake Park Way Ste 114La Mesa, CA 91942

(619)466-0656

Open

Conklin, Diana LCSW 1952411290 LCS20981 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

13336 Goldentop DrLakeside, CA 92040

(619)334-7216

Open

Cross, Karen Ph.D. 1568550234 PSY15113 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

5480 Baltimore Dr Ste 103La Mesa, CA 91942

(858)229-1282

Closed

Davies, Kristina MFT 1922308485 MFC84692 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

1252 Broadway Ste DEl Cajon, CA 92021

(619)722-5313

Closed

de Magalhaes Pamp, Shirla MFT 1124341268 MFC82947 PortugueseSpanish

AdolescentsChildren (0-5)Children (6-12)

Transitional Youth

5811 Amaya Dr Ste 204La Mesa, CA 91942

(619)797-6595

Closed

De Soto, Ana Marie Ph.D. 1063596021 PSY11402 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

500 Fesler St Ste 205El Cajon, CA 92020

(619)579-9346

Open

Dehnel, Russell Ph.D. 1346526274 PSY12603 AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

9905 Prospect AveSantee, CA 92071

(619)402-7305

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 17 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 18: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Dumser, Maxine MFT 1568500395 MFC45707 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

4700 Spring Street Ste 307La Mesa, CA 91942

(619)328-1342

Open

Edwards, Todd MFT 1740496009 MFC42676 Home VisitsAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

7339 El Cajon Blvd Ste JLa Mesa, CA 91942

(619)668-6200

Closed

Espinoza, Jorge Ph.D. 1629292461 PSY9654 Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

396 North Magnolia AveEl Cajon, CA 92020

(619)401-0404

Open

Etchie, Samuel M.D. 1124039052 A53857 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

Adults 7200 Parkway Dr Ste 109La Mesa, CA 91942

(619)303-8363

Closed

Fadem, Leslie MFT 1194932178 MFC27790 Individual TherapyFamily TherapyGroup Therapy

Critical Incident Stress Debriefing

Spanish AdolescentsAdults

Children (6-12)

8080 La Mesa Blvd Ste 112La Mesa, CA 91942

(619)698-6605

Open

Fishburne, Benjamin MFT 1154614535 MFC42328 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)

7317 El Cajon BlvdLa Mesa, CA 91942

(619)251-9237

Open

Franzosi, Claudia MFT 1609900380 MFC33569 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

ItalianSpanish

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

615 E Lexington AveEl Cajon, CA 92020

(619)246-6700

Open

Ganadjian, Krauz M.D. 1043372394 A94325 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

PortugueseSpanish

AdultsOlder Adults

5555 Grossmont Center DrLa Mesa, CA 91942

(619)615-5037

Closed

George, Elizabeth Ph.D. 1790821130 PSY13459 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

8318 University Ave Ste ALa Mesa, CA 91942

(619)469-3429

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 18 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 19: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Gilbert, Patricia M.D. 1134160203 G67441 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

1679 E Main St Ste 205El Cajon, CA 92021

(619)442-4000

Closed

Gillis, Ruth Anne MFT 1568588325 MFC50313 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)Older Adults

127 E Lexington AveEl Cajon, CA 92020

(619)341-4737

Open

Glassman, Jaga Nath M.D. 1558409771 G55004 AdultsOlder Adults

4700 Spring St Ste 204La Mesa, CA 91942

(619)463-6201

Closed

Gordon, Denise Psy.D. 1295971208 PSY22322 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

133 W Main StEl Cajon, CA 92020

(619)401-0404

Closed

Gordon, Susan LCSW 1770804965 LCS14677 Individual TherapyFamily TherapyGroup Therapy

AdolescentsChildren (0-5)Children (6-12)

10765 Woodside Ave Ste CSantee, CA 92071

(619)459-1786

Open

Graham, Debra PNP 1790757623 15657 Home VisitsAssessment

Family TherapyGroup Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Older AdultsTransitional Youth

8770 Cuyamaca St Ste 4Santee, CA 92071

(619)596-9890

Open

Greene, Felicia MFT 1386795482 MFC37422 Individual TherapyFamily Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

4700 Spring St Ste 306La Mesa, CA 91942

(619)464-3664

Open

Greene, Valinda Ph.D. 1164558235 PSY15278 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

5360 Jackson Dr Ste 112La Mesa, CA 91942

(619)697-0934

Open

Gregg, Charles MFT 1700943834 MFC23629 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

7317 El Cajon BlvdLa Mesa, CA 91942

(619)647-1778

Closed

Guynn, Mark MFT 1003142266 MFC45713 Adults 8058 La Mesa BlvdLa Mesa, CA 91942

(619)463-9742

Closed

Hahn, David Psy.D. 1881658235 PSY19168 Psychological TestingAssessment

Individual TherapyOutpatient Treatment

American Sign Language

AdolescentsAdults

1252 Broadway Ste IEl Cajon, CA 92021

(619)917-2569

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 19 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 20: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Haradon, Susan Ph.D. 1841289246 PSY6075 Home VisitsIndividual Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

4700 Spring St Ste 306La Mesa, CA 91942

(619)462-1611

Open

Harden, Elizabeth MFT 1093857104 MFC51329 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

2160 Fletcher Parkwy Ste MEl Cajon, CA 92020

(619)940-9771

Open

Harwood, Robin Ph.D. 1275696445 PSY23198 AdolescentsAdults

Children (0-5)Transitional Youth

9541 Grossmont Summit DrLa Mesa, CA 91941

(858)997-7487

Closed

Henderson, Harry M.D. 1043378193 C36159 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

5565 Grossmont Center Dr Ste 510

La Mesa, CA 91942(619)464-2022

Closed

Highum, Jon M.D. 1538215603 G65798 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

225 W Madison Ave Ste 2El Cajon, CA 92020

(619)971-1423

Closed

Hybarger, Chad Psy.D. 1235196411 PSY22867 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

2160 Fletcher Parkway Ste MEl Cajon, CA 92020

(619)562-2130

Open

Ishaque, Saleem M.D. 1033124730 A36997 Medication ManagementInpatient Treatment

Outpatient Treatment

AdultsOlder Adults

161 East Main St Ste 100El Cajon, CA 92020

(619)631-0128

Closed

James, Cheryl LCSW 1104952340 LCS19265 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

4730 Palm Ave Ste 214La Mesa, CA 91942

(619)504-1472

Open

Janssen, Diane MFT 1720100902 MFC30395 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

2710 Alpine BlvdAlpine, CA 91901(619)933-3957

Open

Jauregui, Cynthia MFT 1003953886 MFC46152 Individual TherapyFamily TherapyGroup Therapy

Spanish AdolescentsChildren (0-5)Children (6-12)

Transitional Youth

127 E Lexington AveEl Cajon, CA 92020

(619)261-6481

Open

Johnson, Christine PNP 1295049229 RN526349 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Critical Incident Stress Debriefing

AdolescentsAdults

Older AdultsTransitional Youth

161 E Main St Ste 100El Cajon, CA 92020

(619)631-0128

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 20 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 21: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Johnson, Janet MFT 1427342369 MFC49995 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Older Adults

525 Grand AveSpring Valley, CA 91977

(619)994-4430

Closed

4700 Spring St Ste 306La Mesa, CA 91942

(619)994-4430

Open

Jordan, Richard Psy.D. 1356567200 PSY16697 AdolescentsChildren (6-12)

Transitional Youth

270 E Douglas AveEl Cajon, CA 92020

(619)303-5062

Open

Kalal, Beth Ph.D. 1669525028 PSY12657 Individual TherapyOutpatient Treatment

AdultsOlder Adults

10765 Woodside Ave Ste DSantee, CA 92071

(619)899-4173

Closed

Keller, Thomas Ph.D. 1912914375 PSY12961 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

5360 Jackson Dr Ste 104La Mesa, CA 91942

(619)698-9525

Open

Khalafian, Vladimir M.D. 1164718367 A124417 Medication ManagementInpatient Treatment

ECT (MD Only)

Russian Adults 5555 Grossmont Center DrLa Mesa, CA 91942

(619)354-0388

Closed

Koelle, Jonathan M.D. 1609803824 G79002 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

French AdultsOlder Adults

4700 Spring St Ste 220La Mesa, CA 91942

(619)528-4600

Closed

Lacey, Audra MFT 1215061254 MFC38530 Individual TherapyOutpatient Treatment

Adults 5480 Baltimore Dr Ste 103La Mesa, CA 91942

(619)559-8591

Open

Lalor, Julie Ph.D. 1225047475 PSY19986 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

8772 Cuyamaca St Ste 104Santee, CA 92071

(619)258-6730

Open

Leal-Olmos, Arlyn LCSW 1437225505 LCS25623 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

Spanish AdolescentsAdults

Children (6-12)Transitional Youth

7339 El Cajon Blvd Suite JLa Mesa, CA 91942

(619)668-6200

Closed

Lemos, Betty MFT 1396947040 MFC41012 Home VisitsAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

PortugueseSpanishTagalog

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

9541 Grossmont Summit DrLa Mesa, CA 91941

(619)248-3067

Closed

Leonard, Jennifer MFT 1285934802 MFC49120 Individual Therapy AdolescentsAdults

205 Claydelle Ave Ste 206El Cajon, CA 92020

(619)567-9627

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 21 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 22: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Liederman, Paul M.D. 1942237532 G7813 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

8772 Cuyamaca St Ste 104Santee, CA 92071

(619)258-6730

Closed

Litwin, Walter Ph.D. 1205988391 PSY15701 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

5360 Jackson Dr Ste 104La Mesa, CA 91942

(619)840-3868

Closed

Lomeli, Liliana MFT 1366776122 LMFC77117 Spanish AdolescentsChildren (0-5)Children (6-12)

Transitional Youth

7339 El Cajon Blvd Ste JLa Mesa, CA 91942

(619)668-6200

Closed

Lord, Stephanie Ph.D. 1659605756 PSY26507 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

7339 El Cajon Blvd Ste JLa Mesa, CA 91942

(858)634-8300

Closed

Mack, Brenda MFT 1447371075 MFC40160 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

7840 El Cajon Blvd Ste 201La Mesa, CA 91942

(619)791-6264

Open

Marucheau, Elizabeth Donahue

LCSW 1255356580 LCS14756 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

5575 Lake Park Way Ste 114La Mesa, CA 91942

(619)446-7660

Open

Matthews, Judy Ph.D. 1134248461 PSY9560 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

1252 Broadway Ste DEl Cajon, CA 92020

(619)466-3749

Open

Maxwell, Michele MFT 1760506794 MFC49509 French AdolescentsChildren (6-12)

270 E Douglas Ave Suite 102BEl Cajon, CA 92020

(858)558-4655

Closed

McCrerey, Rita LCSW 1669428157 LCS12880 AssessmentIndividual Therapy

Group TherapyOutpatient Treatment

AdultsOlder Adults

5575 Lake Park Way Ste 114La Mesa, CA 91942

(619)922-6059

Open

McIntyre, Laurel MFT 1548281009 MFC20237 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

9905 Prospect AveSantee, CA 92071

(619)449-9937

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 22 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 23: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Miller, Brian M.D. 1861411381 A68180 AssessmentMedication Management

Inpatient TreatmentMedication Evaluation

ECT (MD Only)

AdultsOlder Adults

5565 Grossmont Ctr Dr Bldg 3 Ste 357

La Mesa, CA 91942(858)939-4393

Closed

5555 Grossmont Center DrLa Mesa, CA 91942

(858)939-4393

Closed

Mills, Donna M.D. 1831115658 A51160 AssessmentMedication ManagementMedication Evaluation

AdolescentsAdults

Older AdultsTransitional Youth

7339 El Cajon Blvd Ste JLa Mesa, CA 91942

(619)668-6200

Closed

Mitchell, Leah LCSW 1184812307 LCSW66537 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

270 E Douglas AveEl Cajon, CA 92020

(619)401-4081

Open

Morovati, Odelia MFT 1366776122 MFC78963 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Farsi AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

7339 El Cajon Blvd Ste JLa Mesa, CA 91942

(619)668-6200

Open

Muir, Kathleen MFT 1093009334 MFC52081 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

2710 Alpine BlvdAlpine, CA 91901(619)873-7738

Open

Najera, David MFT 1063551802 MFC44692 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Spanish Adults 7735 Pacific Ave Lemon Grove, CA 91945

(619)741-0624

Open

Naranjo, Jorge M.D. 1992838684 A62504 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Spanish AdultsOlder Adults

133 W Main St Ste 100El Cajon, CA 92020

(619)401-0404

Closed

North, Nancy LCSW 1053445213 LCS19018 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

270 E Douglas AveEl Cajon, CA 92020

(619)401-4081

Open

Olinger, Courtney MFT 1891098307 MFC49051 Home VisitsGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

7339 El Cajon Blvd Ste JLa Mesa, CA 91942

(800)277-9550

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 23 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 24: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East O'Meara, E. Warren Ph.D. 1124185947 PSY8654 Psychological TestingAssessment

AdolescentsAdults

Children (6-12)

5575 Lake Park Wy Ste 114La Mesa, CA 91942

(858)566-0123

Open

Osantowski, Janay Ph.D. 1619015807 PSY18794 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

10765 Woodside Ave Ste CSantee, CA 92071

(619)370-3143

Open

Otis, John M.D. 1235154535 G28506 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

1679 E Main St Ste 205El Cajon, CA 92021

(619)579-8745

Closed

Padra Najera, Valerie MFT 1285772103 MFC48488 AssessmentIndividual Therapy

Family TherapyGroup Therapy

FrenchSpanish

AdultsOlder Adults

Transitional Youth

7735 Pacific Ave Lemon Grove, CA 91945

(619)741-0624

Open

Paintal, Nita M.D. 1497795223 A61220 Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdultsOlder Adults

4700 Spring St Ste 220La Mesa, CA 91942

(619)528-4600

Closed

Paniccia, Gregory M.D. 1518022920 G76979 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

161 E Main St Ste 100El Cajon, CA 92020

(619)631-0128

Closed

Papaleo, Stephen Ph.D. 1598702029 PSY7515 Individual TherapyOutpatient Treatment

AdultsOlder Adults

5400 Connecticut Ave Ste ELa Mesa, CA 91942

(619)892-3595

Open

Parker-Dennis, Beverly MFT 1821173030 MFC39404 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

2160 Fletcher Pkwy Ste B1El Cajon, CA 92020

(619)562-9000

Open

Patterson, Charla MFT 1649657958 MFC86259 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

270 E. Douglas AveEl Cajon, CA 92020

(619)401-4081

Closed

Pena-Offerdahl, Nubia LCSW 1730111816 LCS20829 AssessmentIndividual Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

7777 Alvarado Rd Ste 315La Mesa, CA 91942

(619)818-4351

Open

Persaud, Pria M.D. 1457528440 A117322 AdolescentsChildren (6-12)

7339 El Cajon Blvd Ste JLa Mesa, CA 91942

(858)634-8300

Closed

Persson, Kristin Psy.D. 1376851105 PSY23525 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

8355 La Mesa BlvdLa Mesa, CA 91942

(619)855-2344

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 24 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 25: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Pierce, Melissa Psy.D. 1871722199 PSY26118 Psychological TestingHome VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

161 E Main St Ste 100El Cajon, CA 92020

(619)631-0128

Open

Pope, Aisha LCSW 1770693723 LCS23510 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

9541 Grossmont Summit DrLa Mesa, CA 91941

(619)737-7721

Open

Presley, A. Scott Psy.D. 1205017688 PSY23795 Neuropsych. TestingPsychological TestingInpatient Treatment

Outpatient Treatment

AdultsOlder Adults

9745 Prospect Ave Ste 202Santee, CA 92071

(619)456-4822

Open

Price, Devin MFT 1952431397 MFC45268 Home Visits AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

205 Claydelle Ave Ste 206El Cajon, CA 92020

(858)633-8510

Open

Rao, Sanjay M.D. 1407994288 A92683 Inpatient Treatment AdultsOlder Adults

5555 Grossmont Ctr DrLa Mesa, CA 91942

(619)500-6202

Closed

Rhinesmith, Danielle MFT 1730353871 MFC84008 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

127 Lexington AveEl Cajon, CA 92020

(260)235-0844

Open

Richards, Karilyn MFT 1467603852 MFC79599 Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

7339 El Cajon Blvd Ste JLa Mesa, CA 91942

(858)634-8300

Open

Rodriguez, Vanessa MFT 1770898066 MFC51145 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

7317 El Cajon Blvd Ste 102CLa Mesa, CA 91942

(619)401-4026

Open

Saben, Laurence M.D. 1669454898 G27446 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

615 E Lexington AveEl Cajon, CA 92020

(619)440-7831

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 25 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 26: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Salmons, Dawn MFT 1548446453 MFC45076 AssessmentIndividual Therapy

Family TherapyCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

615 E Lexington AveEl Cajon, CA 92021

(619)580-1170

Open

Sanders, Lisa MFT 1346500444 MFC50794 AssessmentIndividual Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

5575 Lake Park Way Ste 100La Mesa, CA 91942

(619)672-2157

Open

Sanders, R. Bradley D.O. 1144264300 20A5544 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

161 E Main St Ste 100El Cajon, CA 92020

(619)631-0128

Closed

Shear, Laurie MFT 1306927959 MFC47195 Home Visits AdolescentsAdults

Older AdultsTransitional Youth

1252 Broadway Ste DEl Cajon, CA 92021

(619)838-0232

Open

Sheridan, Joseph M.D. 1285773382 A97596 AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

5555 Grossmont Center DrLa Mesa, CA 91942

(619)630-1036

Closed

Silva, Christiana Ph.D. 1598955072 PSY21878 Home VisitsIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

12064 Woodside Ave Ste 105Lakeside, CA 92040

(619)448-1216

Open

Smallwood, John LCSW 1053535351 LCS14526 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

1252 Broadway Ste DEl Cajon, CA 92021

(619)226-8206

Open

Smallwood, Rhonda MFT 1780808089 MFC19443 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

1252 Broadway Ste DEl Cajon, CA 92021

(619)295-9466

Open

Squire, David LCSW 1538150420 LCS17752 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

10641 Aristocrat CourtSantee, CA 92071

(619)549-2963

Open

Stewart, Andrea MFT 1508993122 MFC45174 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (6-12)

7735 Pacific AveLemon Grove, CA 91945

(619)214-0288

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 26 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 27: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Swyhart, Paul Ph.D. 1912014127 PSY5486 Home VisitsIndividual Therapy

Family TherapyOutpatient Treatment

AdultsOlder Adults

500 Fesler St Ste 205El Cajon, CA 92020

(619)861-3353

Closed

2727 Bratton Valley RdJamul, CA 91935(619)861-3353

Closed

Tansey, David Ph.D. 1063404614 PSY5081 Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

615 E Lexington Ave Ste 2El Cajon, CA 92020

(858)481-9164

Open

5520 Wellesley St Ste 107La Mesa, CA 91942

(858)481-9164

Open

Tess (Geillinger), Margaret Ph.D. 1306872502 PSY14628 Individual TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

500 Fesler St Ste 205El Cajon, CA 92020

(619)579-9346

Open

Thomas, David M.D. 1104879287 G50664 AssessmentIndividual Therapy

Group TherapyMedication ManagementOutpatient TreatmentMedication Evaluation

Spanish AdultsOlder Adults

8772 Cuyamaca St Ste 104Santee, CA 92071

(619)258-6730

Closed

Van Praag, Lauren MFT 1326285511 MFC23317 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Adults 4700 Spring St Ste 204La Mesa, CA 91942

(619)231-3855

Closed

8772 Cuyamaca St Ste 104Santee, CA 92071

(619)258-6730

Closed

Vaughan, Debra MFT 1770951709 MFC38221 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

270 E Douglas AveEl Cajon, CA 92020

(619)401-4081

Open

Villafana, J. Elias MFT 1831228824 MFC36841 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

8080 La Mesa Blvd Ste 204La Mesa, CA 91942

(619)540-0700

Open

VonRotz, Denise MFT 1598894305 MFC48878 Spanish Children (0-5)Children (6-12)

8080 La Mesa Blvd Ste 205La Mesa, CA 91942

(619)701-6333

Open

Watson, Lindsay MFT 1447305552 MFC29331 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Critical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

8770 Cuyamaca St Ste 4Santee, CA 92071

(760)419-1353

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 27 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 28: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

East Weiss, Irene MFT 1942375621 MFC48691 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

5520 Wellesley St Ste 204La Mesa, CA 91942

(619)697-0470

Open

Weissbein, Kendra Ph.D. 1093797375 PSY12190 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdultsOlder Adults

8772 Cuyamaca St Ste 104Santee, CA 92071

(619)258-6730

Closed

Whitehead, Dan Ph.D. 1952394033 PSY13833 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

615 E Lexington Ave Ste 6El Cajon, CA 92020

(619)518-2051

Open

Whitson, Patricia LCSW 1538231899 LCS11479 AssessmentIndividual Therapy

Family Therapy

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

8900 Grossmont Blvd Ste 4-6La Mesa, CA 91941

(619)303-8078

Open

Williams, Miranda Psy.D. 1720003056 PSY 19618 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

10765 Woodside Ave Ste CSantee, CA 92071

(619)733-6472

Open

Wilson, Saranne MFT 1770892291 MFC 40383 AssessmentIndividual Therapy

Family TherapyCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

360 W Lexington Ste 102El Cajon, CA 92020

(619)328-1343

Closed

Yesaie, Talin MFT 1831200765 MFC45648 AssessmentIndividual Therapy

Family Therapy

Armenian AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

9541 Grossmont Summit DrLa Mesa, CA 91941

(858)472-3452

Open

Zeidman, Heywood M.D. 1205876786 G27873 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (6-12)

4700 Spring St Ste 220La Mesa, CA 91941

(619)667-3380

Closed

North Central Abito, Jennie MFT 1578982930 MFC51055 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Tagalog AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

8969 Complex Dr Ste ASan Diego, CA 92123

(619)518-5615

Open

Acheson, Dean Ph.D. 1265790083 PSY23779 Psychological TestingAssessment

Individual TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

8950 Villa La Jolla Drive C-207La Jolla, CA 92037

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 28 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 29: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Aguayo, Yvette MFT 1780909697 MFC47927 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

9040 Friars Rd Ste 420San Diego, CA 92108

(619)800-8252

Open

Aguila, Lorena Ph.D. 1518977925 PSY20030 AssessmentIndividual Therapy

Spanish AdolescentsAdults

Transitional Youth

2525 Camino Del Rio S Ste 205San Diego, CA 92108

(858)386-3826

Open

Allee, Brandi MFT 1427392182 MFC87040 AssessmentIndividual Therapy

Family Therapy

AdultsChildren (0-5)Children (6-12)

Older AdultsTransitional Youth

3443 Camino del Rio S Ste 326San Diego, CA 92108

(619)269-6986

Closed

Alley, Julie Psy.D. 1124144274 PSY20616 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

3020 Children's Way MC5016San Diego, CA 92123

(858)966-1700

Closed

Almklov, Erin Ph.D. 1528468816 PSY26511 Neuropsych. TestingPsychological Testing

Assessment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

11512 El Camino Real Ste 350San Diego, CA 92130

(858)914-1347

Open

Baroya, Ivan M.D. 1417990243 A66801 AdolescentsAdults

Children (6-12)Older Adults

4550 Kearny Villa Rd Ste 116San Diego, CA 92123

(858)279-1223

Closed

Bederman, Rita MFT 1376684142 MFC47356 Spanish AdolescentsChildren (6-12)

7710 Balboa Ave., Ste 212BSan Diego, CA 92111

(858)560-0425

Open

Behbehani, Soraya MFT 1033299540 MFC37836 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

FarsiFrenchSpanish

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

5850 Oberlin Dr Ste 330San Diego, CA 92121

(619)920-8892

Open

Belzer, Haim Ph.D. 1851449375 PSY8146 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

HebrewSpanish

AdolescentsAdults

Children (6-12)

4550 Kearny Villa Rd Ste 109San Diego, CA 92123

(858)278-0203

Open

Bhattacharjee, Abesh M.D. 1922393388 A122409 Older Adults 2810 Camino Del Rio S Ste 102San Diego, CA 92108

(858)385-1419

Closed

Botkiss, Philip M.D. 1881777803 A43273 Individual TherapyMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

ECT (MD Only)

AdolescentsAdults

Older Adults

7850 Vista Hill AveSan Diego, CA 92123

(619)291-7100

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 29 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 30: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Boucher, David Ph.D. 1518966340 PSY14085 Individual TherapyOutpatient Treatment

AdultsOlder Adults

3633 Camino Del Rio S Ste 102San Diego, CA 92108

(619)296-8097

Closed

Brown, Gaylia Ph.D. 1770667024 PSY5233 Individual TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

591 Camino De La Reina Ste 812San Diego, CA 92108

(619)260-0774

Open

Bruns, Bryan M.D. 1437184975 G29642 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

9255 Towne Centre Dr Ste 370San Diego, CA 92121

(858)535-0091

Closed

Bucky, Steven Ph.D. 1164635140 PSY3939 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

10455 Pomerado Rd Bldg M-15San Diego, CA 92131

(619)464-1196

Open

Burgan, Matt MFT 1336298322 MFC41596 AdultsTransitional Youth

6244 Ferris SquareSan Diego, CA 92121

(858)558-4655

Closed

Burns, Kathleen MFT 1356358642 MFC15803 Psychological TestingAssessment

Individual TherapyFamily Therapy

Italian AdolescentsAdults

Older AdultsTransitional Youth

8885 Rio San Diego Dr Ste 365San Diego, CA 92108

(619)280-6622

Open

Butler, Kerry MFT 1649487612 MFC45496 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

5665 Oberlin Dr Ste 201San Diego, CA 92121

(619)378-0056

Open

Camenzuli, Lorraine Ph.D. 1104232602 PSY10846 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdultsOlder Adults

8950 Villa La Jolla Dr Ste B208La Jolla, CA 92037

(818)632-8152

Closed

Carbonell, Sonia Psy.D. 1902976343 PSY19752 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

6136 Mission Gorge Rd Ste 129San Diego, CA 92120

(619)282-4270

Open

Cardenas, Veronica Ph.D. 1598024572 PSY23660 Home VisitsIndividual Therapy

Family TherapyGroup Therapy

Inpatient Treatment

Spanish AdultsOlder Adults

3855 Health Sciences DriveLa Jolla, CA 92093

(858)822-1494

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 30 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 31: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Carlish, Michael Ph.D. 1063771863 PSY24938 Psychological TestingAssessment

Individual TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

2810 Camino Del Rio S Ste 102San Diego, CA 92108

(619)299-1419

Closed

Carson, Ann Ph.D. 1942251319 PSY12884 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

3530 Camino Del Rio North Ste 103

San Diego, CA 92108(619)516-0221

Open

Carter, Colby Ph.D. 1932532694 PSY25837 AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

4901 Morena Blvd Ste 109San Diego, CA 92117

(866)284-0482

Closed

Chenven, Mark M.D. 1114946514 G39289 AdolescentsChildren (0-5)Children (6-12)

8787 Complex Dr Ste 200San Diego, CA 92123

(858)514-5126

Closed

Cherbowsky, Jose MFT 1710066451 MFC41717 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

HebrewSpanish

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

5445 Oberlin Dr Ste 100San Diego, CA 92121

(760)420-4971

Open

Christofferson, Laura LCSW 1043416530 LCS26576 AdolescentsChildren (0-5)Children (6-12)

Transitional Youth

2515 Camino Del Rio S Ste 317San Diego, CA 92108

(619)218-5002

Closed

Clark, Carl Ph.D. 1073737888 PSY5104 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdultsChildren (6-12)

Older AdultsTransitional Youth

7860 Mission Center Ct Ste 204San Diego, CA 92108

(619)542-1397

Closed

Clark, Evangeline MFT 1326168451 MFC 28186 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

Filipino DialectIlocanoTagalog

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

7860 Mission Center Court Ste 204

San Diego, CA 92108(619)542-1397

Open

Clark, Mary Ph.D. 1659374775 PSY17897 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

10981 San Diego Mission Rd Ste 114

San Diego, CA 92108(619)280-0285

Open

Colamussi, Angel MFT 1740327378 MFC44234 Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

10065 Old Grove Rd Ste 102San Diego, CA 92131

(619)253-4496

Closed

Connor, Willard M.D. 1871772129 A102033 Spanish AdolescentsChildren (0-5)Children (6-12)

Transitional Youth

3020 Children's WaySan Diego, CA 92123

(858)966-4936

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 31 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 32: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Corrigan, Larry LCSW 1396730024 LCS6675 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

8340 Clairemont Mesa Blvd Ste 101

San Diego, CA 92111(858)565-8303

Closed

Covington, Somer MFT 1861691842 MFC48162 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)Older Adults

2535 Camino Del Rio S Ste 355San Diego, CA 92108

(619)948-4116

Open

Cox, Judi LCSW 1861619645 LCS22565 AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

3878 Old Town Ave Ste 100San Diego, CA 92110

(858)752-3502

Closed

Croccia, Raphaella MFT 1962716886 MFC52988 PortugueseSpanishTagalog

AdolescentsChildren (0-5)Children (6-12)

1761 Hotel Cir S Ste 118San Diego, CA 92108

(858)232-1836

Closed

Cross, Karen Ph.D. 1568550234 PSY15113 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

3252 Holiday Ct Ste 220La Jolla, CA 92037

(858)229-1282

Closed

Da Silva, Therese LCSW 1194049205 LCS19963 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

3511 Camino del Rio S Ste 500San Diego, CA 92108

(858)222-0020

Closed

Daub, Barbara MFT 1982733721 MFC21313 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

6160 Mohler StSan Diego, CA 92120

(619)229-9155

Open

Davidoff, Marc MFT 1407997158 MFC49074 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

HebrewSpanish

AdolescentsAdults

Children (6-12)Older Adults

6136 Mission Gorge Rd Ste 129San Diego, CA 92120

(619)282-4270

Closed

De Llano, Carmen Ph.D. 1992752406 PSY11154 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

3505 Camino Del Rio South Ste 335A

San Diego, CA 92108(619)584-6299

Open

Deutsch, Nancy LCSW 1013169390 LCS 11547 Individual Therapy AdolescentsAdults

Children (0-5)Children (6-12)

5005 Texast St Ste 203San Diego, CA 92108(619)692-0727x220

Closed

Dicker, Richard Ph.D. 1699184192 PSY8772 Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

Transitional Youth

7840 Mission Center Ct Ste 102San Diego, CA 92108

(619)234-7300

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 32 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 33: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Dietz, Jackie LCSW 1871611780 LCS19311 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

3665 Kearny Villa Rd Ste 501San Diego, CA 92123

(858)966-5803

Open

Dolzonek, Cynthia Ph.D. 1598833501 PSY9248 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

4834 Diane AveSan Diego, CA 92117

(858)576-7233

Open

Donahue, Kathleen MFT 1104117787 MFC53798 Individual TherapyFamily Therapy

AdolescentsAdults

Children (6-12)Transitional Youth

2333 Camino del Rio S Ste 160San Diego, CA 92108

(619)501-3466

Open

Dungan, Roquette LCSW 1629195052 LCS15435 AssessmentIndividual Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

3665 Kearny Villa Rd Ste 501San Diego, CA 92123

(858)966-4011

Open

Durning, Kathleen Ph.D. 1205826047 PSY5842 AdultsOlder Adults

2231 Camino Del Rio South Ste 308

San Diego, CA 92108(619)281-5521

Closed

D'Urso, Maria MFT 1548441025 MFC47709 Spanish AdolescentsChildren (6-12)

Transitional Youth

3914 Murphy Canyon Rd Ste A237

San Diego, CA 92123(619)905-6198

Open

Ettari, Charles M.D. 1629098520 G16786 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Medication EvaluationCritical Incident Stress Debriefing

AdultsOlder Adults

9888 Genesee AveLa Jolla, CA 92037

(858)552-8928

Closed

Evon, Kathie MFT 1114364502 MFC32728 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

2667 Camino Del Rio S Ste 301-9San Diego, CA 92108

(619)672-2029

Open

Fajerman, Leon M.D. 1992843270 A33156 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

FrenchHebrewItalian

PortugueseSpanish

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

5858 Mt Alifan Dr Ste 205San Diego, CA 92111

(858)565-1177

Closed

Feet, Rosanna MFT 1114093325 MFC44002 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Tagalog AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

1761 Hotel Circle S Ste 110San Diego, CA 92108

(619)717-2970

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 33 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 34: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Fellegvari, Iren Psy.D. 1568538825 PSY25047 Psychological Testing AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

5230 Carroll Cnyn Rd Ste 100San Diego, CA 92121

(858)353-8088

Open

4715 Viewridge Ave Ste 230San Diego, CA 92123

(858)257-8715

Closed

Fidaleo, Raymond M.D. 1548379225 G11749 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

AdultsOlder Adults

7850 Vista Hill AveSan Diego, CA 92123

(858)836-8399

Closed

Fike, Joyce Psy.D. 1649456880 PSY21445 AssessmentIndividual Therapy

Group TherapyOutpatient Treatment

AdultsChildren (6-12)

Older AdultsTransitional Youth

4025 Camino del Rio, Suite 326San Diego, CA 92108

(619)977-8406

Closed

Filizetti, Kirstin Ph.D. 1780901835 PSY25099 Psychological TestingAssessment

Individual TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

2535 Camino Del Rio S Ste 106San Diego, CA 92108

(619)940-7774

Open

Fisher, Steven Psy.D. 1598775256 PSY16754 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

7290 Navajo Rd Ste 212San Diego, CA 92119

(619)278-0700

Open

Flanagan, Thomas M.D. 1154361061 G24638 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

AdolescentsAdults

Older Adults

9850 Genesee Ave Ste 970La Jolla, CA 92037

(858)558-2731

Closed

Fragiskatos, Christopher MFT 1558409714 MFC34336 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

3435 Camino Del Rio S Ste 336San Diego, CA 92108

(619)977-7647

Open

Franey, Kristina Psy.D. 1972603447 PSY19506 Psychological TestingAssessment

AdolescentsChildren (6-12)

Transitional Youth

6322 Caminito MarcialSan Diego, CA 92111

(619)241-3165

Open

Frank, Eric LCSW 1710070859 LCS22363 AdolescentsAdults

Children (6-12)Transitional Youth

3443 Camino del Rio S, Ste 326San Diego, CA 92108

(619)694-8994

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 34 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 35: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Frazao, Victor Ph.D. 1851452478 PSY5677 Individual TherapyFamily Therapy

Outpatient Treatment

Portuguese AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

3505 Camino Del Rio South Ste 238

San Diego, CA 92108(619)280-2968

Closed

Gale, Vanja Psy.D. 1699855528 PSY19622 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

3505 Camino Del Rio S Ste 212San Diego, CA 92108

(619)281-0507

Open

Gardner, Daniel M.D. 1134103591 G27104 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

12526 High Bluff Dr Ste 300San Diego, CA 92130

(858)560-5609

Closed

Giancola, Michael MFT 1982034831 MFC53346 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

8885 Rio San Diego Dr, Ste 365San Diego, CA 92108

(619)964-8288

Open

Glassman, Jaga Nath M.D. 1558409771 G55004 AdultsOlder Adults

9834 Genesee Ave Ste 420La Jolla, CA 92037

(858)455-7040

Closed

Gold, Donna LCSW 1790129575 LCS28494 Individual TherapyFamily TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Transitional Youth

5440 Morehouse Dr Ste 3800San Diego, CA 92121

(858)227-9182

Open

Goldman, Marcie Ph.D. 1427150879 PSY14404 Psychological TestingAssessment

Individual TherapyOutpatient Treatment

AdultsOlder Adults

4901 Morena Blvd Ste 109San Diego, CA 92117

(866)284-0482

Closed

Goodlove, Glenn LCSW 1356558266 LCS1450 Home VisitsIndividual Therapy

Family TherapyGroup Therapy

AdultsOlder Adults

Transitional Youth

10749 Escobar DrSan Diego, CA 92124

(858)569-1248

Open

Gordon, Susan LCSW 1770804965 LCS14677 Individual TherapyFamily TherapyGroup Therapy

AdolescentsChildren (0-5)Children (6-12)

3020 Children's Way MC5016San Diego, CA 92123(858)966-4011x6534

Open

Gotbaum, Marc MFT 1508952151 MFC18875 Adolescents 2851 Meadow Lark Dr P-31San Diego, CA 92123

(619)871-8446

Closed

8910 Clairemont Mesa BlvdSan Diego, CA 92123

(619)871-8446

Closed

Gottlieb, Robert Psy.D. 1972694610 PSY11920 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)

9663 Tierra Grande St Ste 104San Diego, CA 92126

(858)695-2243 x2

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 35 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 36: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Green, Louise Ph.D. 1356456008 PSY4422 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

5333 Mission Center Rd Ste 354San Diego, CA 92108

(619)281-0616

Closed

Grewal, Harinder M.D. 1114041712 A32070 AdolescentsChildren (0-5)Children (6-12)

9455 Farnham St Ste 100San Diego, CA 92123

(951)239-6891

Closed

Griffiths, Maylin Ph.D. 1962605071 PSY25897 AdolescentsChildren (0-5)Children (6-12)

Transitional Youth

11512 El Camino Real Ste 350San Diego, CA 92130

(858)914-1347

Open

Hahn, David Psy.D. 1881658235 PSY19168 Psychological TestingAssessment

Individual TherapyOutpatient Treatment

American Sign Language

AdolescentsAdults

591 Camino De La Reina Ste 918San Diego, CA 92108

(619)917-2569

Open

Hammond, Cathy Ph.D. 1245374578 PSY14995 Psychological TestingAssessment

Individual TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

4025 Camino Del Rio S Ste 300San Diego, CA 92108

(858)646-9886

Open

Hendricks, Alison LCSW 1790806560 LCS23416 Spanish AdolescentsAdults

Children (0-5)Children (6-12)

2095 Mendocino Blvd.San Diego, CA 92107

(619)549-7958

Closed

Heyneman, Ellen M.D. 1598797847 G68996 AdolescentsChildren (0-5)Children (6-12)

3665 Kearny Villa Rd, Ste 101San Diego, CA 92123

(858)966-4935

Closed

Hintz, Sonya M.D. 1790774446 G58561 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

Adults 3252 Holiday Court Ste 100La Jolla, CA 92037

(858)455-6511

Closed

Hirst, Jeremy M.D. 1073563714 A85801 Home VisitsOutpatient Treatment

AdultsOlder Adults

3855 Health Sciences DrLa Jolla, CA 92193

(858)822-6100

Closed

Hoffman, Cindy LCSW 1144474420 LCS15400 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

10630 Amberglades LnSan Diego, CA 92130

(858)354-6042

Open

Hood, Angelique LCSW 1780603415 LCS16750 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

Adults 1650 Hotel Cir N Ste 203San Diego, CA 92108

(619)297-4450

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 36 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 37: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Horta Moss, Maira MFT 1093961104 MFC50536 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

PortugueseSpanish

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

3044 Cabrillo Mesa Dr.San Diego, CA 92123

(858)775-8478

Closed

Hsu, Alan M.D. 1861636763 A133160 AssessmentIndividual Therapy

Medication ManagementMedication Evaluation

AdultsOlder Adults

3855 Health Sciences DriveLa Jolla, CA 92093

(858)822-5381

Closed

Hubbard, Catherine Psy.D. 1558415893 PSY25705 Outpatient Treatment AdolescentsAdults

Older Adults

4901 Morena Blvd Ste 109San Diego, CA 92117

(866)284-0482

Open

Ingham, Martha Ph.D. 1659536084 PSY15164 Psychological Testing AdolescentsAdults

Children (6-12)

3131 Camino Del Rio N Ste 370San Diego, CA 92108

(858)492-7192

Closed

Jackofsky, Gil Ph.D. 1043267099 PSY7899 AssessmentIndividual Therapy

Group TherapyInpatient Treatment

Outpatient Treatment

AdultsOlder Adults

9850 Genesee Ave Ste 970San Diego, CA 92037

(858)558-2731

Closed

Jafar, Syed M.D. 1164437521 C53226 Individual TherapyMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Farsi AdolescentsAdults

Older Adults

7850 Vista Hill AveSan Diego, CA 92123

(619)294-4119

Closed

Jaffe, Lawrence M.D. 1225072903 A32274 AssessmentMedication ManagementMedication Evaluation

Spanish AdultsOlder Adults

4411 Morena Blvd Ste 230San Diego, CA 92117

(619)233-1616

Closed

Jak, Amy Ph.D. 1326103771 PSY21113 Neuropsych. TestingPsychological Testing

Assessment

AdultsOlder Adults

9500 Gilman AveSan Diego, CA 92093

(619)543-1899

Closed

Jella, Steven Psy.D. 1982898045 PSY23916 AdolescentsChildren (6-12)

2667 Camino Del Rio S Ste 301-3San Diego, CA 92108

(619)752-4194

Open

Jimenez-Safir, Paula Ph.D. 1417175324 PSY15889 Individual TherapyFamily Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

7710 Balboa Ave Ste 227 CSan Diego, CA 92111

(858)279-4079

Closed

Johnson, Arika Psy.D. 1821295585 PSY24229 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

Transitional Youth

8555 Aero Dr Ste 308San Diego, CA 92123

(858)273-6763

Closed

Jones, Michael LCSW 1548205719 LCS22452 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

3511 Camino Del Rio S Ste 500San Diego, CA 92108

(619)297-0010

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 37 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 38: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Jorgensen, Judith M.D. 1093818692 A23457 AssessmentIndividual Therapy

Family TherapyMedication ManagementOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Older Adults

470 Nautilus St Ste 211La Jolla, CA 92037

(858)459-1140

Closed

Kantor, Ibolya Ph.D. 1942333182 PSY12955 Psychological TestingIndividual Therapy

AdolescentsAdults

Children (6-12)Older Adults

5353 Mission Ctr Rd Ste 224San Diego, CA 92108

(619)688-5855

Closed

3020 Children's WaySan Diego, CA 92123

(858)966-4011

Open

Kaprow, Marisa LCSW 1336357839 LCS21823 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

3020 Children's WaySan Diego, CA 92123

(858)966-5803

Open

Karippot, Anoop M.D. 1609979871 C54071 Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

10672 Wexford StSan Diego, CA 92131

(858)412-7362

Closed

9834 Genesee Ave Ste 112La Jolla, CA 92130

(858)412-7362

Closed

Katzman, Mara Lynn Ph.D. 1043228042 PSY7741 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)

8813 Caminito SuenoLa Jolla, CA 92037

(858)535-1157

Open

Kelin, Robert Psy.D. 1033256516 PSY7875 Psychological TestingAssessment

Individual Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

4205 Camino Del Rio SSan Diego, CA 92108

(858)268-8601

Open

Keller, Thomas Ph.D. 1912914375 PSY12961 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

1959 Grand Ave Ste ASan Diego, CA 92109

(858)581-5775

Closed

Keri, Jason M.D. 1811915812 A82017 Assessment AdultsOlder Adults

2810 Camino Del Rio S Ste 102San Diego, CA 92108

(858)385-1419

Closed

Kerschmann, Karen LCSW 1043397789 LCS22451 Individual TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)

5440 Morehouse Dr Ste 3800San Diego, CA 92121

(619)889-0662

Open

Keyser, Margaret MFT 1871919159 MFC31349 Individual TherapyFamily TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

6244 Ferris SquareSan Diego, CA 92121

(858)558-4655

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 38 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 39: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Knack, Danielle LCSW 1679606511 LCS24692 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

American Sign Language

AdolescentsChildren (6-12)

Older Adults

2247 San Diego Ave Ste 136San Diego, CA 92110

(619)929-8929

Open

Koerner-Jordan, Sarah Psy.D. 1184024259 PSY26399 Psychological TestingAssessment

Individual TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdultsOlder Adults

Transitional Youth

4901 Morena Blvd Ste 109San Diego, CA 92117

(866)284-0482

Open

Kries, Carole MFT 1790016251 MFC32624 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdultsOlder Adults

Transitional Youth

2725 Congress St Ste 2-CSan Diego, CA 92110

(619)977-3439

Closed

Lalor, Julie Ph.D. 1225047475 PSY19986 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

2231 Camino Del Rio S Ste 308San Diego, CA 92108

(619)241-5456

Open

Lardon, Michael M.D. 1174630305 A48664 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

Critical Incident Stress Debriefing

AdultsOlder Adults

3750 Convoy St Ste 318San Diego, CA 92111

(858)292-2929

Closed

Lauzon, Vanessa M.D. 1457507709 A112525 Inpatient TreatmentOutpatient Treatment

Spanish Adults PO Box 232410San Diego, CA 92193

(619)471-0287

Closed

Layton, Kent Psy.D. 1861439382 PSY17305 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdultsOlder Adults

8555 Aero Drive Ste 308San Diego, CA 92123

(858)273-6763

Closed

Lazar, Joel Ph.D. 1124123708 PSY12520 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)

1267 Rosecrans St Ste ESan Diego, CA 92106

(619)540-6038

Open

3262 Holiday Court Ste 220La Jolla, CA 92037

(619)540-6038

Open

Lee, Sandra M.D. 1205975729 G67878 Outpatient Treatment AdolescentsAdults

Children (6-12)Transitional Youth

4660 Viewridge AveSan Diego, CA 92123

(760)803-0119

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 39 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 40: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Leone, Jo Ann LCSW 1578896452 LCS8409 AdolescentsTransitional Youth

2667 Camino del Rio S Ste 304-1San Diego, CA 92108

(619)980-4216

Closed

Levin, Donna MFT 1336229400 MFC6329 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

AdultsOlder Adults

2810 Camino del Rio S Ste 204San Diego, CA 92108

(619)504-4996

Closed

Lewis, Marilyn MFT 1588837132 MFC40220 AssessmentIndividual Therapy

Family TherapyCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

4565 Ruffner St Ste 110San Diego, CA 92111

(858)492-9985

Closed

Liang, Yingjian M.D. 1912295361 A127013 Individual TherapyMedication Management

Inpatient TreatmentOutpatient Treatment

Critical Incident Stress Debriefing

Mandarin Chinese AdultsOlder Adults

7850 Vista Hill AveSan Diego, CA 92123

(619)294-4119

Closed

Littman, Robert M.D. 1962430454 G39129 AssessmentMedication ManagementMedication Evaluation

AdolescentsAdults

Children (6-12)Older Adults

6386 Alvarado Rd Ste 210San Diego, CA 92120

(858)279-1223

Closed

Loebenstein, Abraham Ph.D. 1013044734 PSY15631 Psychological Testing Hebrew AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

12625 High Bluff Dr Ste 114San Diego, CA 92130

(858)997-5855

Closed

Loewen, Kimberly Psy.D. 1558520718 PSY23978 AdolescentsAdults

Children (0-5)Older Adults

Transitional Youth

3990 Old Town Ave Ste A 208San Diego, CA 92110

(619)794-4229

Closed

Lytle, Mark Psy.D. 1801956198 PSY12089 Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

11280 Tribuna AveSan Diego, CA 92131

(858)566-4748

Closed

Mansdorfer, John Ph.D. 1598900367 PSY13625 Home VisitsIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

AdultsOlder Adults

4901 Morena Blvd Ste 109San Diego, CA 92117

(866)284-0482

Open

Marotta, Antonio MFT 1700801511 MFC32937 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

911 Catalina BlvdSan Diego, CA 92107

(619)293-3741

Open

2423 Camino Del Rio S Ste 103San Diego, CA 92108

(619)293-3741

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 40 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 41: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Martin, Bill MFT 1467508671 MFC33939 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)Older Adults

2525 Camino Del Rio So Ste 205San Diego, CA 92108

(619)686-9302

Open

Martin, Kathleen (Kate) MFT 1811104680 MFC36488 AdolescentsChildren (6-12)

Transitional Youth

5190 Governor Dr Ste 104San Diego, CA 92122

(858)635-1300

Closed

Martin, W Patrick MFT 1588792188 MFC51509 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

10650 Scripps Ranch Blvd Ste 131

San Diego, CA 92131(760)513-6587

Open

Mason, Rhonda LCSW 1366436503 LCS17969 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

3760 Convoy St Ste 118San Diego, CA 92111

(619)251-4618

Open

Maurer, Wendi Ph.D. 1679596282 PSY12694 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

3252 Holiday Court Ste 220La Jolla, CA 92037

(619)701-7999

Open

Mauro, Patricia Ph.D. 1407983679 PSY13924 Individual TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

5850 Oberlin Dr Ste 102San Diego, CA 92121

(858)535-3011

Closed

Maxwell, Ben M.D. 1740415926 A108124 Inpatient Treatment AdolescentsAdults

Children (0-5)Children (6-12)

3020 Children's Way MC5018San Diego, CA 92123

(858)966-1700

Closed

Maxwell, Michele MFT 1760506794 MFC49509 French AdolescentsChildren (6-12)

6244 Ferris SquareSan Diego, CA 92121

(858)558-4655

Closed

McCullaugh, Joseph Ph.D. 1184995466 PSY26244 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

2535 Camino Del Rio S Ste 106San Diego, CA 92108

(619)800-5632

Open

McDaniel, Michael M.D. 1851432900 G44642 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdultsOlder Adults

1660 Hotel Circle N Ste 614San Diego, CA 92108

(619)298-0320

Closed

McWhirter, David LCSW 1194856948 LCS9522 FarsiFilipino Dialect

AdolescentsAdults

Older AdultsTransitional Youth

2835 Camino Del Rio S Ste 120CSan Diego, CA 92108

(858)518-1525

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 41 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 42: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Mears, Tina (Christine) MFT 1568631422 MFC45845 AdolescentsTransitional Youth

3435 Camino Del Rio S Ste 338San Diego, CA 92108

(619)261-7409

Open

Metzler, Cindea MFT 1487690483 MFC38808 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

3633 Camino Del Rio S Ste 102San Diego, CA 92108

(858)254-6590

Open

Miller, Brian M.D. 1861411381 A68180 AssessmentMedication Management

Inpatient TreatmentMedication Evaluation

ECT (MD Only)

AdultsOlder Adults

7850 Vista Hill AveSan Diego, CA 92123

(858)939-4393

Closed

Monahan, Sabrina LCSW 1316013832 LCS22892 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

9666 Businesspark Ave Ste 201San Diego, CA 92131

(858)400-7456

Closed

Morache, Christopher M.D. 1689621567 A66531 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

AdultsOlder Adults

7850 Vista Hill Ave Ste 604San Diego, CA 92123

(619)528-4600

Closed

Morones, Luis MFT 1922136324 MFC41083 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdultsOlder Adults

2423 Camino Del Rio S Ste 103San Diego, CA 92108

(619)672-3495

Closed

Motaghed, Hengameh Ph.D. 1366550592 PSY12707 Individual TherapyFamily Therapy

Outpatient Treatment

Farsi AdultsOlder Adults

591 Camino De La Reina Ste 918San Diego, CA 92108

(858)922-4959

Open

Moyer, Trenton M.D. 1437180791 A78165 Inpatient Treatment AdultsOlder Adults

3750 Convoy St Ste 318San Diego, CA 92111

(858)457-1399

Closed

3252 Holiday Court Ste 102La Jolla, CA 92037

(858)457-1399

Closed

Muir, Kathleen MFT 1093009334 MFC52081 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

8885 Rio San Diego Dr Ste 365San Diego, CA 92108

(619)873-7738

Open

Nease, Joyce Ph.D. 1922020007 PSY17073 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdultsOlder Adults

10981 San Diego Mission Rd Ste 114

San Diego, CA 92108(619)283-5090

Open

Nembhard, Adia MFT 1932234630 MFC53593 AdolescentsAdults

Transitional Youth

3333 Camino Del Rio S Ste 215San Diego, CA 92108

(951)809-7046

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 42 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 43: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Neuner, Diana MFT 1053641324 MFC49581 Individual Therapy AdolescentsAdults

Children (6-12)Transitional Youth

9920 Pacific Heights Blvd Ste 150San Diego, CA 92121

(858)366-3624

Open

Norman, Marc Ph.D. 1922169101 PSY16278 Neuropsych. TestingPsychological Testing

AssessmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

350 Dickinson StreetSan Diego, CA 92193

(858)534-6200

Closed

Olaya, Yanira M.D. 1174679047 A94208 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

Critical Incident Stress Debriefing

Spanish AdultsOlder Adults

836 Prospect StreetSan Diego, CA 92037

(619)717-8888

Closed

Olenski, Paul M.D. 1467675058 C39596 AssessmentIndividual Therapy

Family TherapyMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Critical Incident Stress DebriefingECT (MD Only)

French AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

5252 Balboa Ave Ste 602San Diego, CA 92117

(858)587-9979

Open

Oppedisano, Albert Jr Psy.D. 1598141772 PSY20845 Psychological TestingAssessment

Individual TherapyGroup Therapy

Inpatient Treatment

AdultsOlder Adults

2810 Camino Del Rio S Ste 102San Diego, CA 92108

(619)299-1419

Closed

Otis, John M.D. 1235154535 G28506 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

8950 Villa La Jolla Dr Ste A215La Jolla, CA 92037

(858)457-2180

Closed

Owen, Christina MFT 1457407348 MFC45269 Home VisitsAssessment

Individual TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

2667 Camino Del Rio S 304-1San Diego, CA 92108

(619)980-1679

Closed

Palmer, Barton Ph.D. 1003046244 PSY13935 Neuropsych. TestingPsychological Testing

Assessment

AdultsOlder Adults

8950 Villa La Jolla Dr Ste C207La Jolla, CA 92037

(858)534-8730

Closed

Pando, Joseph Psy.D. 1447419775 PSY27338 Neuropsych. TestingPsychological Testing

Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

Transitional Youth

8555 Aero Drive Ste 308San Diego, CA 92123

(858)273-6763

Open

8765 Aero Dr Ste 221San Diego, CA 92123

(831)596-6817

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 43 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 44: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Papp, Alexander M.D. 1558387373 C51343 AssessmentIndividual Therapy

Medication ManagementMedication Evaluation

AdultsOlder Adults

8950 Villa La Jolla Dr Ste C207La Jolla, CA 92037

(858)534-8730

Closed

Pates, Hugh Ph.D. 1457468233 PSY9576 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

American Sign Language

AdultsOlder Adults

4715 Viewridge Ave Ste 230San Diego, CA 92123

(858)454-3610

Closed

4901 Morena Blvd Ste 109San Diego, CA 92117

(866)284-0482

Closed

6186 Stetson PlSan Diego, CA 92122

(858)453-0645

Open

Paxton, Venus M.D. 1689603557 A94802 AssessmentIndividual Therapy

Family TherapyMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

ECT (MD Only)

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

7850 Vista Hill AveSan Diego, CA 92123

(858)278-4110

Closed

Pellecchia, Kristyn PNP 1780981266 NP21354 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

Critical Incident Stress Debriefing

AdultsOlder Adults

Transitional Youth

2810 Camino Del Rio S Ste 102San Diego, CA 92108

(619)299-1419

Closed

Perry, William Ph.D. 1801811195 PSY12229 Neuropsych. TestingPsychological Testing

AssessmentInpatient Treatment

Outpatient TreatmentCritical Incident Stress Debriefing

AdultsOlder Adults

9350 Campus Point DrLa Jolla, CA 92037

(619)543-2827

Open

Peterson, Jeanne Marie Ph.D. 1114075397 PSY14612 AssessmentIndividual Therapy

Spanish AdolescentsAdults

Children (6-12)Older Adults

3633 Camino Del Rio S Ste 105San Diego, CA 92108

(619)952-8076

Open

Phipps, Denise MFT 1073900429 MFC50912 Home VisitsIndividual Therapy

Family Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

3511 Camino Del Rio S Ste 500San Diego, CA 92108

(619)565-0820

Open

Pickering, Andrew MFT 1235210428 MFC42790 Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)

2423 Camino Del Rio S Ste 101San Diego, CA 92108

(619)994-1307

Open

911 Catalina BlvdSan Diego, CA 92106

(619)994-1307

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 44 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 45: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Plopper, Michael M.D. 1427121524 C37074 AssessmentMedication Management

Inpatient TreatmentMedication Evaluation

AdultsOlder Adults

7850 Vista Hill AveSan Diego, CA 92123

(858)836-8355

Closed

Postlethwaite, Alejandra M.D. 1750566915 A88938 AssessmentMedication ManagementMedication Evaluation

SpanishTagalog

AdolescentsChildren (0-5)Children (6-12)

12395 El Camino Real Ste 105San Diego, CA 92130

(858)259-2950

Closed

Presley, A. Scott Psy.D. 1205017688 PSY23795 Neuropsych. TestingPsychological TestingInpatient Treatment

Outpatient Treatment

AdultsOlder Adults

4901 Morena Blvd Ste 109San Diego, CA 92117

(866)284-0482

Open

Rabin, Alexa Psy.D. 1376834911 PSY26200 Psychological TestingIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)Transitional Youth

2535 Camino del Rio S Ste 106San Diego, CA 92108

(619)796-1358

Open

Reavis, James Psy.D. 1619089406 PSY17404 Psychological TestingAssessment

Individual TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

1333 Camino Del Rio S Ste 105San Diego, CA 92108

(619)234-7970

Closed

Reimann, Joachim Ph.D. 1154422087 PSY15825 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Older Adults

3160 Camino Del Rio S Ste 212San Diego, CA 92108

(619)991-0592

Open

Reiner, Marc M.D. 1003980772 G49887 Medication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

2240 Shelter Island Dr Ste 104San Diego, CA 92106

(619)785-5949

Closed

Remy, Reina LCSW 1881722817 LCS23158 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

8765 Aero Dr Ste 221San Diego, CA 92123

(619)384-1598

Open

Rezai, Farideh Ph.D. 1194891234 PSY9899 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

FarsiTurkish

AdultsOlder Adults

7183 Navajo Road Ste GSan Diego, CA 92119

(619)265-8383

Closed

Rhodes, Richard Psy.D. 1942385992 PSY9902 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Medication ManagementOutpatient Treatment

Critical Incident Stress Debriefing

AdolescentsAdults

Older Adults

9255 Towne Center Dr Ste 370San Diego, CA 92121

(619)885-0941

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 45 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 46: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Rich, Kiefer MFT 1881846061 MFC53627 Home VisitsIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

7590 Fay Ave Ste 507La Jolla, CA 92037

(619)752-4666

Open

Rodriguez, Maria Ph.D. 1871633446 PSY18776 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

2423 Camino Del Rio S Ste 102San Diego, CA 92108

(619)729-6656

Open

Rodriguez-Reimann, Dolores

Ph.D. 1295836138 PSY17124 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

SpanishTagalog

AdolescentsAdults

Older Adults

3160 Camino Del Rio S Ste 212San Diego, CA 92108

(619)991-0591

Open

Rudenberg, Murray Ph.D. 1336368331 PSY12844 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

Critical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

2423 Camino Del Rio S Ste 101San Diego, CA 92108

(619)995-3854

Closed

Ruocco, Drucilla Ph.D. 1730193681 PSY15358 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

2423 Camino Del Rio S Ste 205San Diego, CA 92108

(619)283-2184

Open

Saddick, Shaul Ph.D. 1689747503 PSY7534 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

ArabicFarsi

Hebrew

AdolescentsAdults

Older Adults

6046 Cornerstone Court W Ste 100

San Diego, CA 92121(858)455-6587

Open

Saling, Stella Ph.D. 1164562567 PSY6768 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

8950 Villa La Jolla Dr Ste 208BLa Jolla, CA 92037

(619)838-9728

Open

Saltzman, Jody Ph.D. 1932113370 PSY14374 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdultsOlder Adults

6480 Weathers Pl Ste 102San Diego, CA 92119

(858)775-6364

Closed

591 Camino De La Reina Ste 918San Diego, CA 92108

(858)775-6364

Closed

Samadi, Hossein M.D. 1124224324 A102190 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

2810 Camino Del Rio S Ste 102San Diego, CA 92108

(858)385-1419

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 46 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 47: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Sathpathy, Sanjoy M.D. 1043348428 A80195 AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

7850 Vista Hill AveSan Diego, CA 92123

(760)960-1848

Closed

Savarese, Joanna Ph.D. 1093078164 PSY24973 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

11512 El Camino Real Ste 350San Diego, CA 92130

(858)914-1347

Open

Schere, Richard Ph.D. 1851575948 PSY18755 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

AdolescentsAdults

Children (0-5)Transitional Youth

7825 Fay Ave Ste 200La Jolla, CA 92037

(858)456-5545

Open

Schindler, Mark Ph.D. 1689664278 PSY7815 Individual TherapyInpatient Treatment

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

7486 La Jolla Blvd Ste 500La Jolla, CA 92037

(858)454-5588

Closed

Schwartzel-Hurst, Carla MFT 1760694137 MFC17574 Individual TherapyFamily TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Older Adults

8340 Clairemont Mesa Blvd Ste 101

San Diego, CA 92111(858)565-8303

Closed

Scoortis, Phaedra MFT 1093865073 MFC43174 Individual TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

2727 Camino Del Rio S Ste 311San Diego, CA 92108

(619)244-3329

Open

Searcy, Kenneth Ph.D. 1831115856 PSY11271 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

591 Camino De La Reina Ste 918San Diego, CA 92108

(760)789-6389

Open

Seldin, Fredric Ph.D. 1326318346 PSY20365 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

7840 Mission Ctr Ct Ste 102San Diego, CA 92108

(619)813-5923

Open

Shaw, Morgan Psy.D. 1942677935 PSY27516 Neuropsych. TestingPsychological Testing

Assessment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

10065 Old Grove Road Ste 101San Diego, CA 92131

(858)527-1860

Closed

Shelley, Ronda MFT 1376685339 MFC50896 Home VisitsIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Transitional Youth

2515 Camino Del Rio S Ste 215San Diego, CA 92108

(619)295-8463

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 47 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 48: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Sheth, Manish M.D. 1225083272 C53102 Neuropsych. TestingHome VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

FarsiSpanish

AdolescentsAdults

Older AdultsTransitional Youth

4510 Executive Dr Ste 115San Diego, CA 92121

(858)427-5060

Closed

Shu, I-Wei M.D. 1992840144 A103813 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

Transitional Youth

3855 Health Sciences DrSan Diego, CA 92093

(858)822-5381

Closed

Simpson, Suzanne Ph.D. 1669491106 PSY7544 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

9255 Towne Center Dr Ste 370La Jolla, CA 92121

(858)452-5660

Open

Slali, Bapsi Ph.D. 1336284512 PSY7103 Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Older Adults

3645 Ruffin Rd Ste 205San Diego, CA 92123

(858)569-2055

Closed

Sobel, Richard Ph.D. 1407902489 PSY11279 Individual TherapyFamily Therapy

Critical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

5252 Balboa Ave Ste 802San Diego, CA 92117

(858)467-0170

Open

Starr, Donna LCSW 1831347434 LCS63733 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

2667 Camino Del Rio S Ste 103San Diego, CA 92108

(619)455-9584

Open

Steigerwald, Jodi MFT 1598804668 MFC 37570 AssessmentOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

3914 Murphy Canyon Rd Ste A237

San Diego, CA 92123(858)565-7950

Open

Stern-Ellis, Heidi LCSW 1356475313 LCS16941 Children (0-5)Transitional Youth

3020 Children's WaySan Diego, CA 92123

(619)420-5611

Open

Tata, Satya M.D. 1518086404 A98273 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

1550 Hotel Circle N Ste 450San Diego, CA 92108

(619)692-1581

Closed

Taylor, Brent MFT 1003034166 MFC37311 SpanishTagalog

AdolescentsAdults

Children (0-5)Children (6-12)

2423 Camino Del Rio S Ste 103San Diego, CA 92108

(619)594-3871

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 48 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 49: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Thurman, Margaret MFT 1417948332 MFC23234 AdolescentsChildren (0-5)Children (6-12)

Transitional Youth

3990 Old Town Ave Ste 209ASan Diego, CA 92110

(619)685-7399

Closed

Tonkovich, Joelle LCSW 1427133628 LCS21685 AssessmentIndividual Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

3990 Old Town Ave Ste B100San Diego, CA 92110

(619)405-5916

Open

Toohey, Tara M.D. 1568655306 C130519 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Medication ManagementInpatient Treatment

Medication EvaluationECT (MD Only)

AdultsOlder Adults

9500 Gilman DrSan Diego, CA 92093

(858)534-3684

Closed

Torres, Elsa MFT 1891067328 MFC88013 AssessmentIndividual Therapy

Family Therapy

Spanish AdolescentsAdults

Older Adults

3443 Camino Del Rio South Ste 202

San Diego, CA 92108(619)269-6986

Closed

Tweedy, David Ph.D. 1336295500 PSY16608 Psychological TestingHome VisitsAssessment

Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

2810 Camino Del Rio S Ste 102San Diego, CA 92108

(858)385-1419

Closed

Ustrzynski, Sam PNP 1194952218 20405 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Polish Adults 9350 Campus Point DriveLa Jolla, CA 92037

(858)534-7792

Closed

8950 La Jolla Village DriveLa Jolla, CA 92037

(858)534-7792

Closed

Van Praag, Lauren MFT 1326285511 MFC23317 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Adults 2810 Camino Del Rio S Ste 204San Diego, CA 92108

(619)231-3855

Closed

Vencil, Marla Ph.D. 1992752091 PSY16217 Individual TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

5353 Mission Center Rd Ste 224San Diego, CA 92108

(619)688-5855

Open

Weisskopf, Matthew Ph.D. 1710055785 PSY 21048 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

2423 Camino Del Rio S Ste 102San Diego, CA 92108

(858)232-6136

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 49 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 50: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Welsh-Osga, Barbara Ph.D. 1801999065 PSY7850 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Portuguese AdolescentsAdults

Children (6-12)Older Adults

3505 Camino Del Rio S Ste 238San Diego, CA 92108

(619)285-9981

Open

Whitehead, Dan Ph.D. 1952394033 PSY13833 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

2515 Camino del Rio S Ste 114San Diego, CA 92108

(619)518-2051

Open

Wilcox, Jeanne MFT 1255538955 MFC44222 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Transitional Youth

2667 Camino Del Rio So Ste 307-8

San Diego, CA 92108(619)246-5611

Open

2725 Congress St Ste 2CSan Diego, CA 92110

(619)688-1035

Closed

Witkin-Lupo, Marcy Psy.D. 1154387843 PSY17157 Home VisitsIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

4295 Gesner StSan Diego, CA 92117

(858)270-0787

Closed

3435 Brandywine StSan Diego, CA 92117

(858)270-0787

Closed

Woodburn, Lawrence Ph.D. 1336215102 PSY5312 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Older Adults

9255 Towne Ctr Dr Ste 370La Jolla, CA 92121

(858)452-1477

Open

Wright, Pamela LCSW 1548402092 LCS17367 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

2667 Camino Del Rio South, 307-8

San Diego, CA 92108(619)241-1308

Closed

Wrobel, Michael Psy.D. 1609909191 PSY10424 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

5005 Texas St Ste 203San Diego, CA 92108

(619)692-0727

Closed

4350 Executive Dr Ste 255San Diego, CA 92121

(858)552-1499

Closed

Zapatel, Jorge M.D. 1215081328 A69151 Spanish AdolescentsChildren (0-5)Children (6-12)

9888 Genesee AveLa Jolla, CA 92037

(858)626-4123

Closed

12395 El Camino Real Ste 105San Diego, CA 92130

(619)549-2736

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 50 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 51: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Central Zappone, Karen Ph.D. 1346344371 PSY10428 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

7946 Ivanhoe Ave Ste 204La Jolla, CA 92037

(619)291-6126

Closed

Zimmerman, Denise Ph.D. 1952497885 PSY11918 Individual TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

5190 Governor Dr Ste 101San Diego, CA 92122

(858)452-2233

Open

North Coastal Abney, Jeanette MFT 1528342599 MFC48551 Home VisitsAssessment

Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

713 Mission Ave Ste DOceanside, CA 92054

(760)722-0672

Open

Adams, Charles M.D. 1083608533 G28056 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Older Adults

285 N El Camino Real Ste 219Encinitas, CA 92024

(760)753-9500

Closed

Alami-Rad, Mahvash Ph.D. 1962588921 PSY19728 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Farsi AdolescentsAdults

Children (6-12)Older Adults

2181 S El Camino Real Ste 305Oceanside, CA 92054

(760)224-4422

Open

Allen, Chriss Ph.D. 1710100490 PSY11664 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

2125 S El Camino Real Ste 206Oceanside, CA 92054

(760)598-4528

Open

Allen, Mark Ph.D. 1922042886 PSY11665 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

1207 Carlsbad Village Dr Ste RCarlsbad, CA 92008

(760)846-1945

Open

Alpern, Frederick Ph.D. 1700974748 PSY15772 Individual TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)

740 Oak AveCarlsbad, CA 92008

(760)850-0967

Open

Alpner, Donna MFT 1942376991 MFC42828 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

539 Carlsbad Village Dr Ste 103Carlsbad, CA 92008

(760)729-7760

Closed

Barr, Martha Katie LCSW 1124176334 LCS20913 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

2945 Harding St Ste 110Carlsbad, CA 92008

(760)519-2555

Closed

Baxley, Bruce Ph.D. 1154477362 PSY6399 AdultsOlder Adults

230 Second St Ste 202Encinitas, CA 92024

(858)271-3060

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 51 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 52: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Coastal Beaudieu, Susanna LCSW 1184883845 LCS16453 AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

3605 Vista Way Ste 101Oceanside, CA 92056(760)967-7082x7601

Open

Berenson, Laurie Psy.D. 1104956556 PSY12568 AssessmentIndividual Therapy

Outpatient Treatment

AdultsOlder Adults

380 S Melrose Ave Ste 335Vista, CA 92081(760)224-4333

Open

Berkowitz, Alan M.D. 1578519476 G55943 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

AdultsOlder Adults

328 Encinitas Blvd Ste 100Encinitas, CA 92024

(760)730-4540

Closed

Body, Bart Ph.D. 1275609075 PSY23990 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdultsOlder Adults

Transitional Youth

348 Avenida De Las RosasEncinitas, CA 92024

(760)634-9811

Closed

Boyce , Mariette Ph.D. 1831405869 PSY25424 AdolescentsChildren (0-5)Children (6-12)

Transitional Youth

1991 Village Park Way Ste 100Encinitas, CA 92024

(619)512-9123

Closed

Brewer, Mark MFT 1023154358 MFC46057 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

1207 Carlsbad Village Dr Ste O Carlsbad, CA 92008

(760)500-3325

Closed

Buckley, Lisa Ph.D. 1699873976 PSY15155 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdultsOlder Adults

1991 Village Parkway Ste 202BEncinitas, CA 92024

(760)943-1226

Closed

Burgan, Matt MFT 1336298322 MFC41596 AdultsTransitional Youth

804 Pierview Wy Ste 203Oceanside, CA 92054

(858)735-4069

Closed

Cain, David Ph.D. 1063574242 PSY6654 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

2945 Harding Ste 103Carlsbad, CA 92008

(760)533-9066

Open

Campbell, Don Ph.D. 1144255266 PSY9658 Individual TherapyFamily Therapy

Outpatient Treatment

AdultsOlder Adults

2011 Palomar Airport Rd Ste 205Carlsbad, CA 92011

(760)431-9933

Open

Carlish, Michael Ph.D. 1063771863 PSY24938 Psychological TestingAssessment

Individual TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

1611A S Melrose Dr Ste 251Vista, CA 92081(760)716-2710

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 52 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 53: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Coastal Chammas, Sabah M.D. 1457307530 C37866 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

328 Encinitas Blvd Ste 100Encinitas, CA 92024

(760)730-4540

Closed

Chateauneuf, Claire MFT 1912114828 MFC36467 AssessmentIndividual Therapy

Family TherapyGroup Therapy

FrenchSpanish

AdultsOlder Adults

1813 Laurel RoadOceanside, CA 92054

(760)433-1648

Open

Commentz, Denise Ph.D. 1780697250 PSY14314 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (6-12)

372 La Veta AveEncinitas, CA 92024

(760)942-6371

Open

Cook, Jean MFT 1760737290 MFC18795 Individual Therapy AdolescentsAdults

Children (0-5)Children (6-12)

3150 El Camino Real Ste ECarlsbad, CA 92008

(619)917-9144

Open

Corey, Deborah MFT 1528296027 MFC48962 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Older AdultsTransitional Youth

713 Mission Ave Ste DOceanside, CA 92054

(562)369-9524

Closed

Daly, Jeff Psy.D. 1023128196 PSY19886 Psychological TestingIndividual Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

1100 Sportfisher DrOceanside, CA 92054(760)439-6702x224

Closed

De la Torre, Ana MFT 1619097789 MFC41088 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

2777 Jefferson St Ste 200Carlsbad, CA 92008

(760)994-9323

Open

Devine, Randi MFT 1598772360 MFC21456 AssessmentIndividual Therapy

Group TherapyOutpatient Treatment

Critical Incident Stress Debriefing

AdultsOlder Adults

2424 Vista Wy Ste 201Oceanside, CA 92054

(760)439-1124

Closed

Diekman, Barbara MFT 1699845404 MFC25435 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Older Adults

945 Vale Terrace DrVista, CA 92084(760)741-2660

Open

Donoghue, Nancy MFT 1518147230 MFC31758 AdolescentsAdults

Children (6-12)

1100 Sportfisher DrOceanside, CA 92054

(760)439-6702

Closed

Dougherty, Christine LCSW 1003194960 LCS26686 AdolescentsChildren (0-5)Children (6-12)

Older AdultsTransitional Youth

977 S Santa Fe Ave Ste 12Vista, CA 92083(760)960-2842

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 53 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 54: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Coastal Dunn, N. Genean Ph.D. 1376535955 PSY5785 Individual TherapyOutpatient Treatment

AdultsOlder Adults

3150 El Camino Real Ste ECarlsbad, CA 92008

(760)720-0272

Closed

Edwards, Deborah MFT 1295710663 MFC35005 AssessmentIndividual Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)

826 2nd StEncinitas, CA 92024

(760)436-1151

Open

Edwards, M. Ben MFT 1437134814 MFC35616 Individual TherapyFamily TherapyGroup Therapy

AdolescentsAdults

Children (6-12)

826 2nd StEncinitas, CA 92024

(760)436-1151

Closed

Elgin, Gita Psy.D. 1629142120 PSY6901 Individual TherapyFamily TherapyGroup Therapy

Critical Incident Stress Debriefing

Spanish AdolescentsAdults

Older Adults

348 Avenida de las RosasEncinitas, CA 92024

(760)634-9811

Closed

Farish, Jolene LCSW 1427444660 LCS27991 AssessmentIndividual Therapy

Family Therapy

AdultsOlder Adults

1207 Carlsbad Village Dr Ste OCarlsbad, CA 92008

(760)500-3325

Closed

Fay, Alicia LCSW 1083986137 LCS21857 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

800 Grand Ave Ste A-19Carlsbad, CA 92008

(760)720-5247

Open

Frost, Nicholas M.D. 1730129651 G22304 Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Older Adults

328 Encinitas Blvd Ste 100Encinitas, CA 92024

(760)730-4540

Closed

Garcia, Erika MFT 1790982213 MFC41769 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

2424 W Vista Way Ste 201Oceanside, CA 92054

(760)889-9077

Open

Garcia, Joshua LCSW 1306961016 LCS26336 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Older Adults

1207 Carlsbad Village Dr Ste OCarlsbad, CA 92008

(619)962-5862

Closed

Giraldo, Fiorella LCSW 1932235611 LCS13315 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

3355 Mission Ave Ste 231Oceanside, CA 92054

(760)519-5409

Closed

Glathar, Ryan MFT 1487816971 MFC52465 AssessmentGroup Therapy

AdolescentsAdults

Children (6-12)Older Adults

200 Michigan AveVista, CA 92084(760)842-6205

Open

Gonzalez, Margaret LCSW 1730213265 LCS23097 Spanish AdolescentsChildren (0-5)Children (6-12)

3605 Vista Way Ste 101Oceanside, CA 92056(760)967-7082 x7699

Open

Grewal, Harinder M.D. 1114041712 A32070 AdolescentsChildren (0-5)Children (6-12)

969 Vale Terrace DVista, CA 92084(951)239-6891

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 54 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 55: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Coastal Griggs, Steven Ph.D. 1700870839 PSY8534 Psychological TestingAssessment

Individual TherapyFamily Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

4407 Manchester Ave Ste 204Encinitas, CA 92024

(760)943-8590

Open

Guzman, Mariana MFT 1093025546 LCS80015 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Spanish AdolescentsAdults

Children (6-12)Transitional Youth

3142 Vista Way Ste 400Oceanside, CA 92056

(760)842-6217

Closed

Hoar, Charlene Ph.D. 1013905330 PSY5747 Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdultsOlder Adults

386 13th StDel Mar, CA 92014

(858)794-0546

Open

Isacescu, Valentin M.D. 1972602720 A68103 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

French AdolescentsAdults

Older Adults

3230 Waring Court Ste POceanside, CA 92056

(760)726-6464

Closed

Jardon, Gloria MFT 1003901992 MFC51151 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Spanish AdolescentsAdults

Children (6-12)

270 N El Camino Real Ste 507Encinitas, CA 92024

(858)212-4244

Open

Katahara, Melinda LCSW 1497821060 LCS28800 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

3150 El Camino Real, Ste ECarlsbad, CA 92008

(760)994-7300

Open

Kesten-Selhay, Carol MFT 1255471363 MFC19537 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)

2890 Pio Pico Dr Ste 102Carlsbad, CA 92008

(760)431-7097

Closed

Kilbourne, Brock Ph.D. 1467586701 PSY10467 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

2181 El Camino Real Ste 307Oceanside, CA 92054

(760)722-4233

Open

Klein, Lucas Ph.D. 1922263276 PSY25861 Neuropsych. TestingPsychological Testing

AssessmentOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

990 Highland Dr Ste 105-ASolana Beach, CA 92075

(760)889-0118

Closed

Kramer, Shelley Ph.D. 1124149224 PSY4219 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

2181 El Camino Real Ste #305Oceanside, CA 92054

(760)966-1286

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 55 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 56: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Coastal Lewis, Megan Psy.D. 1689616856 PSY18875 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

Critical Incident Stress Debriefing

Spanish AdolescentsAdults

Children (6-12)Older Adults

2910 Jefferson St Ste 201Carlsbad, CA 92008

(760)707-6765

Closed

Lian, Thomas M.D. 1770594616 G60506 Inpatient Treatment AdultsOlder Adults

PO Box 9268Rancho Santa Fe, CA 92067

(619)220-8114

Closed

Lynch, Timothy Psy.D. 1174792097 PSY26537 Psychological TestingAssessment

Individual TherapyCritical Incident Stress Debriefing

AdolescentsAdults

Older Adults

2110 S Pacific Coast Hwy Ste IOceanside, CA 92054

(760)975-5933

Open

Magnusson, Lori Ph.D. 1467563767 PSY8568 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

550 W Vista Way Ste 408Vista, CA 92083(760)634-6643

Open

Martel, Andrea LCSW 1407920267 LCS18116 Individual TherapyFamily Therapy

AdolescentsAdults

Children (6-12)Older Adults

328 Encinitas Blvd Ste 100Encinitas, CA 92024

(760)730-4540

Closed

Marthens, Tamara MFT 1942372586 MFC42967 AdolescentsChildren (6-12)

Transitional Youth

707 Oceanside BlvdOceanside, CA 92054

(760)757-0118

Open

200 Michigan AveVista, CA 92084(760)842-6202

Open

Martin, Bill MFT 1467508671 MFC33939 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)Older Adults

1337 Camino Del Mar Ste EDel Mar, CA 92014

(858)755-2407

Open

Martin, Manuel MFT 1649306184 MFC29639 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

2558 Roosevelt St Ste 203Carlsbad, CA 92008

(760)415-0235

Open

Martin, Naomi Cooper MFT 1215252804 MFC48304 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Critical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

2424 W Vista Way Ste 201Oceanside, CA 92054

(760)717-9405

Open

Matalon, Leor M.D. 1114952876 A62950 AdolescentsChildren (0-5)Children (6-12)

826 2nd StEncinitas, CA 92024

(760)452-5150

Open

380 S Melrose Dr Ste 204Vista, CA 92081(760)917-5200

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 56 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 57: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Coastal Matracia, James MFT 1417155094 MFC50760 AdolescentsAdults

Children (6-12)

103 Rancho Del Oro Rd Ste AOceanside, CA 92057

(760)815-2388

Closed

Mauro, Patricia Ph.D. 1407983679 PSY13924 Individual TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

5524 Foxtail LoopCarlsbad, CA 92010

(760)431-9600

Closed

Mays, C. Hugh Ph.D. 1841215779 PSY6733 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Older Adults

3230 Waring Court Ste POceanside, CA 92056

(760)726-6465

Open

McCullaugh, Joseph Ph.D. 1184995466 PSY26244 Neuropsych. TestingPsychological Testing

AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

410 S Melrose Dr Ste 202Vista, CA 92081(619)800-5632

Open

McKnight, Rebecca Psy.D. 1710117981 PSY24001 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

2892 Jefferson StCarlsbad, CA 92008

(760)434-9500

Closed

Melden, Mark D.O. 1982653135 20A7900 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

2892 Jefferson StCarlsbad, CA 92008

(760)434-9500

Closed

Morgan, Nancy MFT 1992833362 MFC44001 AssessmentIndividual Therapy

Family Therapy

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

187 Calle Magdalena Ste 107Encinitas, CA 92024

(760)803-2295

Open

Motaghed, Hengameh Ph.D. 1366550592 PSY12707 Individual TherapyFamily Therapy

Outpatient Treatment

Farsi AdultsOlder Adults

550 W Vista Way Ste 309Vista, CA 92083(858)922-4959

Open

Murphy, Sharon MFT 1164756789 MFC30649 Individual TherapyOutpatient Treatment

AdultsOlder Adults

410 S Melrose Dr Ste 222Vista, CA 92081(760)806-4350

Closed

Olmscheid-Koerner, Karen Ph.D. 1124032842 PSY18053 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

1337 Camino Del Mar Ste EDel Mar, CA 92014

(858)792-6829

Open

Ordas, Dennis M.D. 1336196211 G77521 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

Spanish AdultsOlder Adults

328 Encinitas Blvd Ste 100Encinitas, CA 92024

(760)730-4540

Closed

O'Shea, Thomas Ph.D. 1679669386 PSY8302 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

741 Garden View Court Ste 105Encinitas, CA 92024

(760)944-4181

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 57 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 58: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Coastal Peterson, Leslie LCSW 1942404363 LCS26416 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

2890 Pio Pico Dr Ste 102Carlsbad, CA 92008

(760)683-9341

Open

Pierce, Melissa Psy.D. 1871722199 PSY26118 Psychological TestingHome VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

3530 Sierra Morena AveCarlsbad, CA 92010

(619)327-0146

Open

Poloway, Mark Ph.D. 1457438624 PSY8883 Psychological TestingHome VisitsAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

2181 El Camino Real 205Oceanside, CA 92054

(760)612-5490

Open

Putnam, Nicholas M.D. 1124178900 G27562 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

4401 Manchester Ave Ste 101Encinitas, CA 92024

(760)753-4564

Closed

Rabin, Alexa Psy.D. 1376834911 PSY26200 Psychological TestingIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)Transitional Youth

410 S Melrose Dr Ste 202Vista, CA 92081(619)796-1358

Open

Resnick, Cecily Ph.D. 1023122579 PSY16956 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdultsChildren (0-5)Children (6-12)

Older Adults

1991 Village Park Way Ste 150Encinitas, CA 92024

(760)445-3737

Closed

Saavedra, Alberta MFT 1043586753 LMFT91435 Group Therapy Spanish AdultsOlder Adults

200 Michigan AveVista, CA 92084(760)842-6204

Open

Sadatrafiei, Zohreh MFT 1861700445 MFC91316 Individual TherapyFamily TherapyGroup Therapy

Farsi AdultsOlder Adults

731 Hwy 101 Ste 1E Room #9Solana Beach, CA 92075

(858)342-5514

Closed

Semmes, Jennifer LCSW 1528396538 LCS23587 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Critical Incident Stress Debriefing

AdolescentsAdults

Older AdultsTransitional Youth

2910 Jefferson St Ste 201Carlsbad, CA 92008

(760)583-5781

Closed

Severe, Norman Psy.D. 1356362909 PSY17478 Psychological TestingIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

215 Ninth StDel Mar, CA 92014

(858)864-2422

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 58 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 59: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Coastal Shahla, Ramin M.D. 1336249762 C52239 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

Turkish AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

12835 Pointe Del Mar Way Ste 1Del Mar, CA 92014

(619)294-4119

Closed

Shriver, Deborah MFT 1275610065 MFC33121 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

707 Oceanside BlvdOceanside, CA 92054

(760)757-0118

Closed

200 Michigan AveVista, CA 92084(760)757-0118

Open

Simpson, Suzanne Ph.D. 1669491106 PSY7544 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

1207 Carlsbad Village Dr Ste RCarlsbad, CA 92008

(760)720-4997

Open

Spencer, Edward Ph.D. 1336151216 PSY10491 AssessmentIndividual Therapy

Outpatient Treatment

AdultsOlder Adults

800 Grand Ave Ste A-15Carlsbad, CA 92008

(760)736-9161

Open

Stubbs, M. Bruce Ph.D. 1508855701 PSY8361 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

2181 El Camino Real Ste 202Oceanside, CA 92054

(760)929-9010

Open

Surridge, Arilda MFT 1326357328 LMFT84629 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsChildren (6-12)

Transitional Youth

6994 El Camino Real Ste 205-BCarlsbad, CA 92009

(619)997-3260

Open

Tweedy, David Ph.D. 1336295500 PSY16608 Psychological TestingHome VisitsAssessment

Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

2945 Harding St Ste 112Carlsbad, CA 92008

(760)310-8655

Closed

Vilicich, Gigi MFT 1639590912 MFT30620 Individual TherapyFamily TherapyGroup Therapy

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

1991 Village Park Way Ste 100Encinitas, CA 92024

(760)274-7965

Open

Welland-Akong, Christauria Psy.D. 1326099318 PSY17166 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

990 Highland Dr Ste 103Solana Beach, CA 92075

(858)922-8555

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 59 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 60: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Coastal Wilckens-Gjata, Paola LCSW 1902899354 LCS21144 Individual TherapyFamily Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

2777 Jefferson St Ste 203 CCarlsbad, CA 92008

(760)535-1847

Open

Woodburn, Lawrence Ph.D. 1336215102 PSY5312 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Older Adults

1207 Carlsbad Village Dr Ste RCarlsbad, CA 92008

(858)452-1477

Open

Wooden, Feeby Joe Ph.D. 1013035252 PSY26436 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

Arabic AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

3815 Mission Ave Ste 202AOceanside , CA 92058

(760)810-1440

Open

Wright, Daniel Ph.D. 1376672063 PSY18559 Psychological TestingAssessment

Individual TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)

2424 Vista Way Ste 210Oceanside, CA 92054

(760)855-0393

Open

North Inland Alpern, Frederick Ph.D. 1700974748 PSY15772 Individual TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)

334 Via Vera Cruz Ste 207San Marcos, CA 92078

(760)850-0967

Open

Baratta, Peter LCSW 1619145232 LCS11506 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

718 D StRamona, CA 92065

(760)788-1003

Open

Baroya, Ivan M.D. 1417990243 A66801 AdolescentsAdults

Children (6-12)Older Adults

11878 Avenue of IndustrySan Diego, CA 92128

(858)487-3200

Closed

Barreda Schurr, Cindy Psy.D. 1518152164 PSY24842 Psychological Testing Spanish AdolescentsAdults

Children (0-5)Children (6-12)

145 Vallecitos De Oro Ste 210San Marcos, CA 92069

(858)277-9550

Open

Berggren, Maria M.D. 1689826232 A99522 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

Spanish Adults 221 W Crest Ave Ste 102Escondido, CA 92025

(760)489-4930

Closed

Berkowitz, Alan M.D. 1578519476 G55943 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

AdultsOlder Adults

11770 Bernardo Plaza Court Ste 370

San Diego, CA 92128(858)673-3360

Closed

Borck, Vicky D.O. 1306939038 20A11284 Individual TherapyInpatient Treatment

Outpatient Treatment

AdolescentsAdults

Children (6-12)

11878 Ave of IndustrySan Diego, CA 92128

(858)592-6644

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 60 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 61: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Inland Bradley, Lanni MFT 1093096398 MFC84550 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

120 W Hawthorne StFallbrook, CA 92028

(760)731-3235

Open

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Bradshaw, Kelsey Ph.D. 1629387766 PSY28095 Psychological TestingIndividual Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

145 Vallecitos Dr Oro Ste 210San Marcos, CA 92069

(619)668-6200

Closed

Burgan, Matt MFT 1336298322 MFC41596 AdultsTransitional Youth

16885 W. Bernardo Dr Ste 203San Diego, CA 92127

(858)735-4069

Closed

Cain, David Ph.D. 1063574242 PSY6654 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

8590 Indian Ridge RdSan Marcos, CA 92078

(760)533-9066

Open

Callahan, Devin Psy.D. 1699812743 PSY19400 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

16935 W Bernardo Dr Ste 208San Diego, CA 92127

(858)208-8773

Open

Carrillo, Anna M.D. 1225054927 A62084 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

15525 Pomerado Rd Ste E3Poway, CA 92064(858)592-6644

Closed

Cerda, Gabrielle M.D. 1407887748 G76229 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

Spanish AdolescentsAdults

Children (6-12)Older Adults

125 W. Mission, Ste 103Escondido, CA 92025

(760)747-3424

Closed

Chairez, Leonor MFT 1225255425 MFC82417 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Chiriac, Irinel M.D. 1871552281 A104663 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (6-12)Older Adults

11770 Bernardo Plaza Ct Ste 370San Diego, CA 92128

(858)673-3360

Closed

Christensen, Patti LCSW 1245434745 LCS24129 AssessmentIndividual Therapy

Family Therapy

AdolescentsChildren (6-12)

Older Adults

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 61 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 62: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Inland Christensen, Patti LCSW 1245434745 LCS24129 AssessmentIndividual Therapy

Family Therapy

AdolescentsChildren (6-12)

Older Adults

120 W HawthorneFallbrook, CA 92028

(760)741-2660

Open

Colarusso, Michelle LCSW 1568704807 LCS27130 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

1132 San Marino Dr Ste 209San Marcos, CA 92078

(760)522-7158

Open

Colbert, James Ph.D. 1053411900 PSY3940 Neuropsych. TestingAssessment

Individual Therapy

Older Adults 3275 Dolores DrJulian, CA 92036(760)765-1090

Open

Davidson, Lisa Ph.D. 1659497600 PSY19308 Neuropsych. TestingPsychological Testing

Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

14015 Midland RdPoway, CA 92064(858)672-0130

Open

Diekman, Barbara MFT 1699845404 MFC25435 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Older Adults

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Dutart, Laurie MFT 1093939027 LMFT82471 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

1132 San Marino Dr Ste 207San Marcos, CA 92078

(760)215-5054

Open

DuVall, Christine Besse MFT 1942323332 MFC38021 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (6-12)

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Closed

Fouts, Barbara MFT 1790832327 MFC21397 Home VisitsAssessment

Individual TherapyFamily Therapy

Medication ManagementOutpatient Treatment

Critical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

15525 Pomerado Rd Ste E4Poway, CA 92064(858)395-0636

Open

1530 Main St Ste 5Ramona, CA 92065

(858)395-0636

Open

Gernandt, Debra MFT 1538292115 MFC50395 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

30240 Hwy 78Santa Ysabel, CA 92070

(760)765-3578

Open

Gines, Holly LCSW 1083936983 LCS20560 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

135 E 3rd Ave BEscondido, CA 92025

(760)705-8468

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 62 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 63: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Inland Gines, Holly LCSW 1083936983 LCS20560 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (0-5)

105 N Rose St Ste 211Escondido, CA 92027

(760)705-8468

Closed

Gonzalez, Margaret LCSW 1730213265 LCS23097 Spanish AdolescentsChildren (0-5)Children (6-12)

334 Via Vera Cruz Ste 208San Marcos, CA 92078

(760)201-6198

Open

Gordon, Denise Psy.D. 1295971208 PSY22322 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

1121 Washington AveEscondido, CA 92025

(760)871-0606

Closed

Green, Kristin MFT 1033416292 MFC88720 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

100 E San Marcos Blvd Ste 400San Marcos, CA 92069

(858)537-4729

Closed

Griggs, Steven Ph.D. 1700870839 PSY8534 Psychological TestingAssessment

Individual TherapyFamily Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

210 S Juniper St Ste 205Escondido, CA 92025

(760)746-8355

Open

Guzzo, Richard LCSW 1497898431 LCS8288 Home VisitsIndividual Therapy

Family TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Harris, Laura LCSW 1255640280 LCS18214 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Heck, Carol Ph.D. 1184617508 PSY12340 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

577 E Elder St Ste CFallbrook, CA 92028

(760)723-4159

Closed

House, Sean Ph.D. 1659524544 PSY25128 Home VisitsIndividual Therapy

Outpatient Treatment

AdultsOlder Adults

Transitional Youth

11417 W Bernardo Ct Ste KSan Diego, CA 92127

(858)254-4192

Open

Jackofsky, Gil Ph.D. 1043267099 PSY7899 AssessmentIndividual Therapy

Group TherapyInpatient Treatment

Outpatient Treatment

AdultsOlder Adults

11770 Bernardo Plaza Court Ste 370

San Diego, CA 92128(858)673-3360

Closed

277 Rancheros Dr Ste 301San Marcos, CA 92069

(760)471-4073

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 63 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 64: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Inland James, Steven M.D. 1184081523 G47188 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Medication EvaluationECT (MD Only)

Adults 11878 Avenue of IndustrySan Diego, CA 92128

(619)786-1296

Closed

Karippot, Anoop M.D. 1609979871 C54071 Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

15611 Pomerado Rd Ste 400Poway, CA 92064(858)613-8900

Closed

Karp, Michael MFT 1376588541 MFC16939 Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

12115 Mesa Verde DrValley Center, CA 92082

(760)913-9003

Open

Katz, Marina M.D. 1366498446 A79968 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Russian AdultsOlder Adults

221 W Crest Ave Ste 102Escondido, CA 92025

(760)489-4930

Closed

15611 Pomerado Rd Ste 400San Diego, CA 92064

(760)739-2922

Closed

Kelly, Kim MFT 1740380633 MFC48966 AdolescentsChildren (0-5)Children (6-12)

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Closed

Khatchatrian, Karine M.D. 1689687634 C53513 Medication ManagementOutpatient TreatmentMedication Evaluation

ArmenianRussian

AdultsOlder Adults

11770 Bernardo Plaza Ct Ste 370San Diego, CA 92128

(858)673-3360

Closed

Krull, Alice M.D. 1417994930 G60064 Individual TherapyMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

ECT (MD Only)

AdultsOlder Adults

11858 Bernardo Plaza Ct Ste 210San Diego, CA 92128

(858)523-8365

Closed

Kruvi, Sharon MFT 1568777464 MFC53899 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Critical Incident Stress Debriefing

Hebrew AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Ladia, Louella M.D. 1881629814 A70487 Individual Therapy Filipino DialectIlocanoTagalog

AdolescentsAdults

Children (0-5)

15611 Pomerado Rd Ste 535Poway, CA 92064(858)279-1223

Closed

Leahy, Katherine MFT 1700082864 MFC52120 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

15708 Pomerado Rd Ste 201Poway, CA 92064(858)442-1482

Open

135 E Third AveEscondido, CA 92025

(858)442-1482

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 64 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 65: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Inland Liang, Li M.D. 1053468546 A96420 Inpatient TreatmentOutpatient Treatment

Mandarin Chinese AdultsOlder Adults

15611 Pomerado Rd Ste 400Poway, CA 92064(760)739-2922

Closed

Lord, Stephanie Ph.D. 1659605756 PSY26507 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

145 Vallecitos De Oro Ste 210San Marcos, CA 92069

(858)634-8300

Closed

Lowry, Jennifer D.O. 1386759272 20A10583 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

11770 Bernardo Plaza Ct Ste 370San Diego, CA 92128

(858)673-3360

Closed

Lowry, John D.O. 1477661619 20A10380 AssessmentOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

277 Rancheros Rd Ste 301San Marcos, CA 92069

(760)471-4073

Closed

Magulac, Mark M.D. 1427085661 G56157 AssessmentIndividual Therapy

Family TherapyMedication ManagementOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

11440 West Bernardo Court Ste 300

San Diego, CA 92127(858)487-3330

Closed

Matalon, Leor M.D. 1114952876 A62950 AdolescentsChildren (0-5)Children (6-12)

502 W El Norte PkwyEscondido, CA 92026

(760)917-5200

Open

McEvoy, Pamela Ph.D. 1043231715 PSY10150 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Older Adults

2721 Washington StreetJulian, CA 92036(760)765-1223

Open

4343 Yaqui Pass RdBorrego Springs, CA 92004

(760)767-5051

Open

Parthasarathy(Partha), Muralikrishnan

M.D. 1952569063 A105423 AdolescentsChildren (6-12)

Transitional Youth

300 Rancheros Dr, Ste 130San Marcos, CA 92069

(858)279-1223

Open

Patel, Anil M.D. 1164462164 A46378 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

277 Rancheros Dr Ste 301San Marcos, CA 92069

(760)471-4073

Closed

Pena-Haas, Lucy MFT 1346445590 MFC53167 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

120 W HawthorneFallbrook, CA 92028

(760)741-2660

Closed

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 65 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 66: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Inland Proctor Taneska, Sonja MFT 1316287691 MFC45285 Home VisitsAssessment

Individual TherapyGroup Therapy

AdolescentsAdults

Transitional Youth

15706 Pomerado Rd Ste 210-1Poway, CA 92064(858)472-9349

Closed

Putt, Cheryll MFT 1699891754 MFC39494 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

16935 W Bernardo Dr Ste 233San Diego, CA 92127

(858)451-9929

Closed

Racicot, Sheilamarie MFT 1568678126 MFC 31702 AdolescentsAdults

Older AdultsTransitional Youth

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Robinson, Randy Ph.D. 1891717070 PSY7530 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

15706 Pomerado Rd Ste 210Poway, CA 92064(858)451-9400

Closed

Rodriguez, Maria Ph.D. 1871633446 PSY18776 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

16885 W Bernardo Dr Ste 235San Diego, CA 92127

(619)729-6656

Open

Rosario, Victoria MFT 1841498292 MFC52995 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

16935 W Bernardo Dr Ste 108San Diego, CA 92127

(619)994-2799

Open

Sachs, Jeanine MFT 1770616005 MFC34188 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

13625 Adrian StPoway, CA 92064(858)231-3489

Open

Salgueiro, Holly MFT 1942492467 MFC49622 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

SpanishTagalog

AdolescentsAdults

Children (6-12)

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Salguero Galland, Mario M.D. 1487947826 A122101 Inpatient Treatment Spanish Adults 11858 Bernardo Plaza Ct Ste 210San Diego, CA 92128

(858)461-1142

Closed

Sanders, R. Bradley D.O. 1144264300 20A5544 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

333 S Juniper StEscondido, CA 92025

(619)631-0128

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 66 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 67: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Inland Searcy, Kenneth Ph.D. 1831115856 PSY11271 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

1530 Main St Ste 5Ramona, CA 92065

(760)789-6389

Open

Searcy, Meagan MFT 1780986554 MFC83209 Home VisitsAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)

1530 Main St Ste 5Ramona, CA 92065

(619)385-0638

Open

Sherman, Christina MFT 1497901771 MFC37775 AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

577 E Elder St Ste CFallbrook, CA 92028

(760)419-7683

Open

Shimizu, Hideo Ph.D. 1477699148 PSY19666 Psychological TestingAssessment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

135 East 3rd AveEscondido, CA 92025

(760)855-3577

Closed

127 E 3rd Ave Ste 201Escondido, CA 92025

(760)855-3577

Closed

Shoots, Emily MFT 1730447871 MFC90135 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Adults 1002 E. Grand AveEscondido, CA 92025

(760)741-2660

Closed

Signer, Stephen M.D. 1194771956 G51749 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

French AdultsOlder Adults

2185 Citracado PkwyEscondiso, CA 92029

Closed

11770 Bernardo Plaza Court Ste 370

San Diego, CA 92128(858)673-3360

Closed

Slover, Gretchen MFT 1861693863 MFC 47980 AssessmentIndividual Therapy

Family TherapyCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

751 Rancheros Dr Ste 10San Marcos, CA 92069

(760)716-5576

Open

Stevens, Mark Ph.D. 1336269398 PSY20859 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

13525 Midland Rd Ste JPoway, CA 92064(858)207-8322

Open

Stracka, Rachael LCSW 1689664609 LCS20306 Spanish AdolescentsChildren (6-12)

127 E Third Ave Ste 201Escondido, CA 92025

(760)489-1092

Closed

Tata, Satya M.D. 1518086404 A98273 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

15373 Innovation Dr Ste 395San Diego, CA 92128

(858)876-3105

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 67 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 68: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

North Inland Turner, Lisa LCSW 1821115890 LCS20424 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Older Adults

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Varela-Russo, Maria MFT 1407011042 MFC53211 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Spanish AdultsChildren (0-5)Children (6-12)

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Warneke-Ice, Angela MFT 1417152463 MFC88167 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

AdultsChildren (0-5)Children (6-12)

Older Adults

16935 W Bernardo Dr Ste 233San Diego, CA 92127

(619)701-1536

Open

Watson, Lindsay MFT 1447305552 MFC29331 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Critical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

932 D St Ste 5Ramona, CA 92065

(760)419-1353

Open

13525 Midland Rd Ste JPoway, CA 92064(760)419-1353

Open

Weltsch, Matthew Ph.D. 1225360613 PSY20348 Individual TherapyFamily Therapy

AdultsChildren (6-12)

Older AdultsTransitional Youth

502 W El Norte PkwyEscondido, CA 92026

(619)218-9032

Closed

White, Stephen Psy.D. 1376681825 PSY20739 Home VisitsIndividual Therapy

Outpatient Treatment

AdultsOlder Adults

Transitional Youth

16496 Bernardo Ctr Dr Ste 307San Diego, CA 92128

(619)922-1579

Open

Wigle, Charles MFT 1407911878 MFC29757 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

145 Vallecitos de Oro Ste BSan Marcos, CA 92069

(760)744-8700

Closed

Wilder, JoAnn LCSW 1528271145 LCS14181 AssessmentIndividual Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Transitional Youth

145 S Fig StEscondido, CA 92025

(760)740-0138

Open

Wrolson, Patricia MFT 1790817302 MFC35113 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

1002 E Grand AveEscondido, CA 92025

(760)741-2660

Open

Out of County Abney, Jeanette MFT 1528342599 MFC48551 Home VisitsAssessment

Individual TherapyFamily Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

26395 Jefferson Ave Ste DMurrieta, CA 92562

(760)722-0672

Open

5482 Business Dr Ste AHuntington Beach, CA 92649

(760)722-0672

Open

104 N Raymond AveFullerton , CA 92831

(760)722-0672

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 68 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 69: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Out of County Abney, Jeanette MFT 1528342599 MFC48551 Home VisitsAssessment

Individual Therapy

AdolescentsAdults

Children (6-12)

10031 Lampson AveGarden Grove, CA 92840

(760)722-0672

Open

Agarwal, Sanjay M.D. 1326321043 A101145 Inpatient Treatment AdolescentsAdults

Children (6-12)Transitional Youth

146 S Main St Ste 6166Orange, CA 92868

(314)368-0900

Closed

Al-Asadi, Ghada M.D. 1598875239 C50587 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Arabic AdolescentsAdults

Older Adults

2705 S Diamond Bar Blvd Ste 238

Diamond Bar, CA 91765(909)860-2166

Closed

415 W Route 66 Ste 202Glendora, CA 91740

(626)963-4467

Closed

Alkhouri, Wadie M.D. 1568556652 C51885 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Arabic AdolescentsAdults

Older Adults

210 S Grand Ave Ste 320Glendora, CA 91741

(626)335-1919

Closed

Anderson, Janice LCSW 1508998857 LCS17910 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient TreatmentCritical Incident Stress Debriefing

AdolescentsAdults

Children (0-5)Older Adults

5633 N Figarden Dr Ste 114Fresno, CA 93722(559)227-0931

Open

Balcos, Enrico M.D. 1932171121 A63363 AssessmentIndividual Therapy

Family TherapyMedication Management

Inpatient TreatmentMedication Evaluation

Tagalog AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

5353 G StreetChino, CA 91770(949)545-1121

Closed

Baroya, Ivan M.D. 1417990243 A66801 AdolescentsAdults

Children (6-12)Older Adults

31045 Temecula Pkwy Ste 206Temecula, CA 92592

Closed

23905 Clinton Keith Rd Ste 114-411

Wildomar, CA 92595(866)284-0482

Closed

23905 Clinton Keith Rd Ste 114-411

Wildomar, CA 92592(866)284-0482

Closed

Basta, Fawzy M.D. 1508932500 A42961 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Arabic Adults 17075 Devonshire St Ste 204Northridge, CA 91325

(818)368-8720

Closed

23560 Lyones Ave Ste 202Newhall, CA 91321

(818)368-8929

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 69 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 70: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Out of County Carmona, Claudia M.D. 1982847455 A113125 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

Critical Incident Stress Debriefing

AdultsOlder Adults

Transitional Youth

1686 Barton RdRedlands, CA 92373

(909)558-9551

Closed

1710 Barton RdRedlands, CA 92373

(909)558-9551

Closed

Carroll, Michael Psy.D. 1578731303 PSY24334 Psychological TestingHome VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

23905 Clinton Keith Road Ste 114-411

Wildomar, CA 92595(866)284-0482

Open

Casciani, Joseph Ph.D. 1316975717 PSY5291 Older Adults 23905 Clinton Keith Rd, Ste 114-411

San Diego, CA 92595(866)284-0482

Open

Chaudhri, Yashwant M.D. 1043258429 A67679 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

AdolescentsAdults

Older Adults

1880 Washington StColton, CA 92324(909)423-0367

Closed

Chenven, Mark M.D. 1114946514 G39289 AdolescentsChildren (0-5)Children (6-12)

14700 Manzanita Park RdBeaumont, CA 92223

(951)845-3155

Closed

Colomer-DeSaca, Nidia M.D. 1790880854 G60697 Medication ManagementMedication Evaluation

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

5343 Riverside DrChino, CA 91710(909)465-9337

Closed

Coskinas, Evagelos M.D. 1437382314 G69850 Inpatient Treatment AdolescentsAdults

Older Adults

427 E 17th St Ste F469Costa Mesa, CA 92627

(951)244-4147

Closed

Dennis, Tshekedi M.D. 1215015508 A96369 Neuropsych. TestingPsychological Testing

AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

Transitional Youth

5762 Bolsa Ave Ste 107Huntington Beach, CA 92649

(714)898-0362

Closed

12772 Valley View St Ste 3Garden Grove, CA 92845

(714)799-7799

Closed

Deshmukh, Mukund M.D. 1205930377 A51789 AssessmentIndividual Therapy

Family TherapyMedication Management

Inpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

5353 G StChino, CA 91710(951)926-1014

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 70 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 71: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Out of County Dey, Samuel M.D. 1447271242 G54997 AssessmentMedication ManagementMedication Evaluation

AdolescentsAdults

Children (6-12)Older Adults

3634 Elizabeth StRiverside, CA 92506

(951)341-8930

Closed

Earle, Sheree LCSW 1407936073 LCS15695 AssessmentIndividual Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)

10630 Town Ctr Dr Ste 128ARancho Cucamonga, CA 91730

(909)256-7986

Open

Fidel, Manolito M.D. 1326098534 A81909 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Medication Evaluation

AdolescentsAdults

Children (6-12)Transitional Youth

23700 Camino Del SolTorrance, CA 90505

(310)530-1151

Closed

Gessesse, Hiruy M.D. 1902091481 A101106 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Medication Evaluation

AdolescentsAdults

Children (6-12)Older Adults

2776 Pacific AveLong Beach, CA 90806

(562)997-2000

Closed

Gildin, Joan M.D. 1396847299 G40268 AdolescentsChildren (0-5)Children (6-12)

14700 Manzanita Park RdBeaumont, CA 92223

(951)845-3155

Closed

Gilman-Fleming, Libby LCSW 1528094612 LCS20530 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (6-12)

32302 Camino Capistrano Ste 202

San Juan Capistrano, CA 92675(949)842-3250

Open

Grewal, Harinder M.D. 1114041712 A32070 AdolescentsChildren (0-5)Children (6-12)

14150 Culver Dr Ste 307Irvine, CA 92604(951)239-6891

Closed

41690 Enterprise Cir N 200LTemecula, CA 92590

(951)239-6891

Closed

Hall, Kimberly Psy.D. 1730232356 PSY19448 AdolescentsChildren (6-12)

15700 Russell AveRiverside, CA 92508

(951)789-4410

Closed

Hanson, Lara LCSW 1689898363 LCS23532 Home Visits AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

1139 North Brand Blvd Ste AGlendale, CA 91202

(760)815-9453

Closed

Hunter, Sarah M.D. 1649284274 G42292 Individual TherapyFamily Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

607 Cabot WayNapa, CA 94559(707)252-3130

Closed

Ilas, Michael D.O. 1538291968 20A6560 AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

38950 Mesa RdTemecula, CA 92592

(951)347-1519

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 71 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 72: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Out of County Jacob, Said M.D. 1528128949 A43666 AssessmentMedication Management

Inpatient TreatmentMedication Evaluation

Arabic AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

2705 S Diamond Bar Blvd Ste 238

Diamond Bar, CA 91765(909)860-2166

Closed

415 W Route 66 Ste 202Glendora, CA 91740

(626)963-4467

Closed

Lamphere, Georgina Ph.D. 1487633616 PSY10649 Psychological TestingAssessment

Outpatient TreatmentCritical Incident Stress Debriefing

Spanish AdolescentsAdults

Children (6-12)Older Adults

8253 White Oak AveRancho Cucamonga, CA 91730

(909)987-1997 x2

Closed

Lee, Timothy M.D. 1326254137 A101050 AdultsOlder Adults

1686 Barton RdRedlands, CA 92373

(909)558-9551

Closed

Lopes, Rachel LCSW 1336240027 LCS29272 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

28 Goffle Brook CTHawthorne, NJ 07506

(203)994-9330

Closed

Michaelson, Joe Ph.D. 1043358633 PSY15037 Psychological TestingAssessment

Individual TherapyFamily Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

1210 Nevada WyRedlands, CA 92373

(909)633-1572

Closed

10377 Bluff StBanning, CA 92220

(909)633-1572

Closed

Mirkovich, Joseph M.D. 1891761623 A77930 Inpatient Treatment AdultsOlder Adults

6521 Via LorenzoRancho Palos Verdes, CA 90275

(323)842-2658

Closed

Ng, Bernardo M.D. 1598780736 A48774 Neuropsych. TestingPsychological Testing

Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

Critical Incident Stress Debriefing

Spanish AdultsOlder Adults

2417 Marshall Ave Ste 1Imperial, CA 92251

(760)355-0161

Closed

Nock, Leshea MFT 1164766713 MFC86128 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

33595 Abbey RdTemecula, CA 92592

(760)445-5796

Closed

Paulson, Robin MFT 1114207131 MFC46994 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

41715 Enterprise Cir N Ste 102Temecula, CA 92590

(951)290-2997

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 72 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 73: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Out of County Reddy, Vedhire M.D. 1427156173 A46202 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (6-12)Older Adults

24275 Jefferson AveMurrieta, CA 92562

(951)677-5599

Closed

Reyes, Dara Psy.D. 1114119591 PSY27297 Home VisitsAssessment

Individual TherapyInpatient Treatment

Outpatient Treatment

AdultsOlder Adults

830 Scenic Terrace PlaceChula Vista, CA (619)722-0014

Closed

Ruths, Steven M.D. 1093748519 A79292 Medication ManagementInpatient Treatment

Medication Evaluation

Adults 801 Seneca StreetVentura, CA 93001

(805)653-6434

Closed

1304 E Main Street Ste DVentura, CA 93001

(805)653-1060

Closed

Schmidt, Deb LCSW 1487708657 LCS9240 Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

26302 La Paz Rd Ste 201Mission Viejo, CA 92691

(949)829-9447

Closed

Schwartz, Michael D.O. 1861584708 20A7992 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdultsOlder Adults

427 E 17th Street Ste 229Costa Mesa, CA 92627

(949)478-3444

Closed

Sidhom, Taghrid M.D. 1215124771 A98920 Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ArabicFrench

AdolescentsAdults

Children (6-12)Older Adults

2705 S Diamond Bar Blvd Ste 238

Diamond Bar, CA 91765(909)860-2166

Closed

415 W Route 66 Ste 202Glendora, CA 91740

(626)963-4467

Closed

Sloan, Michael Psy.D. 1205902954 PSY8604 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

264 N Highland Springs Bldg-1 Ste C

Banning, CA 92220(951)845-8262

Open

Steinbach, Kenneth M.D. 1821100173 A43021 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Spanish AdultsOlder Adults

1060 W Sierra Ave Ste 105Fresno, CA 93711(559)437-1111

Closed

Taylor, Brent MFT 1003034166 MFC37311 SpanishTagalog

AdolescentsAdults

Children (0-5)Children (6-12)

29520 Hyperion StMurrieta, CA 92563

(858)829-1150

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 73 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 74: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

Out of County Turner, Randall D.O. 1164696993 20A10933 Home VisitsAssessment

Individual TherapyMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

French AdultsOlder Adults

17782 Cowan Ste AIrvine, CA 92614(949)955-2101

Closed

275 Victoria St Ste 2LCosta Mesa, CA 92627

(949)722-7118

Closed

Valdez, Juden M.D. 1861550444 A52425 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Medication Evaluation

Adults 2776 Pacific AveLong Beach, CA 90806

(562)997-2000

Closed

Wong, Matthew M.D. 1851465686 A84553 Inpatient Treatment Children (6-12) 23700 Camino Del SolTorrance, CA 90505

(310)530-1151

Closed

Woodburn, Lawrence Ph.D. 1336215102 PSY5312 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

AdolescentsAdults

Older Adults

210 Wake AveEl Centro, CA 92243

(858)452-1477

Open

South Abuan, Ryan MFT 1821316670 MFC85414 Adolescents 2400 Fenton Street Ste 217Chula Vista, CA 91914

(619)289-8653

Closed

Aguila, Lorena Ph.D. 1518977925 PSY20030 AssessmentIndividual Therapy

Spanish AdolescentsAdults

Transitional Youth

815 3rd Ave Ste 111Chula Vista, CA 91911

(858)386-3826

Open

Ahmed, Mohammed M.D. 1184856916 A124696 Inpatient Treatment AdultsOlder Adults

1908 Sweetwater RdNational City, CA 91950

(619)327-0146

Closed

Aidar-Currier, Renata LCSW 1932277597 LCS26063 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

PortugueseSpanish

AdolescentsAdults

Older AdultsTransitional Youth

625 3rd AveChula Vista, CA 91910

(619)804-6918

Closed

Alanis, Elsa Ph.D. 1740270594 PSY12555 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdolescentsAdults

Older Adults

224 Landis AveChula Vista, CA 91910

(619)476-3555

Open

Amaral, Clarence Ph.D. 1568673622 PSY15793 AssessmentIndividual Therapy

Family Therapy

AdultsOlder Adults

900 Otay Lakes RdChula Vista, CA 91910

(619)216-6689

Closed

Araujo, J Marcia MFT 1174653893 MFC43379 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

PortugueseSpanish

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

470 3rd Ave Ste 3Chula Vista, CA 91910

(619)651-7755

Open

Bari, Mohammed M.D. 1679588370 A46396 AssessmentMedication Management

Inpatient TreatmentMedication Evaluation

AdultsOlder Adults

1908 Sweetwater RdNational City, CA 91950

(619)327-0146

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 74 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 75: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

South Cerda, Gabrielle M.D. 1407887748 G76229 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

Spanish AdolescentsAdults

Children (6-12)Older Adults

815 3rd Ave Ste 319San Diego, CA 91911

(619)691-1880

Closed

Clark, Pilar LCSW 1467678300 LCS25662 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

1261 3rd Ave Ste DChula Vista, CA 91911

(619)420-5611

Open

Cooper, Randi Psy.D. 1023037561 PSY22630 AssessmentIndividual Therapy

Outpatient Treatment

AdolescentsAdults

Older Adults

1908 Sweetwater RdNational City, CA 91950

(619)327-0146

Open

Cortizo, Rosa Psy.D. 1952316648 PSY22278 AssessmentIndividual Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

815 3rd Ave Ste 111Chula Vista, CA 91911

(619)920-1638

Open

Cowden, Nancy MFT 1629348420 MFC42169 AdolescentsChildren (6-12)

Transitional Youth

815 3rd Ave Ste 306Chula Vista, CA 91911

(619)750-3313

Open

Cruz y Celis, Mauricio MFT 1811978612 MFC35169 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

815 3rd Ave Ste 315DChula Vista, CA 91911

(619)420-3439

Open

1261 3rd Ave Ste DChula Vista, CA 91911

(619)420-5611

Closed

De Llano, Carmen Ph.D. 1992752406 PSY11154 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

815 Third Ave Ste 107Chula Vista, CA 91911

(619)584-6299

Open

Dolnak, Douglas D.O. 1316147085 20A6059 Medication ManagementMedication Evaluation

Adults 1908 Sweetwater RdNational City, CA 91950

(619)327-0146

Closed

Dominguez-Barros, Ines Ph.D. 1518031376 PSY26075 Home VisitsAssessment

Individual TherapyInpatient Treatment

Spanish AdultsOlder Adults

830 Scenic Terrace PlaceChula Vista, CA 91914

(619)722-0014

Open

Fajerman, Leon M.D. 1992843270 A33156 AssessmentIndividual Therapy

Medication ManagementOutpatient TreatmentMedication Evaluation

FrenchHebrewItalian

PortugueseSpanish

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

815 3rd Ave Ste 203Chula Vista, CA 91910

(858)565-1177

Closed

1642 Melrose AveChula Vista, CA 91911

Closed

Feet, Rosanna MFT 1114093325 MFC44002 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Tagalog AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

680 Telegraph Canyon Ste 201Chula Vista, CA 91910

(619)717-2970

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 75 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 76: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

South Fuentes-West, Marysol MFT 1285770941 MFC39962 AssessmentIndividual Therapy

Family Therapy

Spanish AdolescentsAdults

Children (6-12)Older Adults

815 3rd Ave Ste 107Chula Vista, CA 91911

(619)422-7216

Open

Fux-Warner, Susanne MFT 1487811535 MFC47477 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

680 Telegraph Cyn Rd Ste 201Chula Vista, CA 91910

(619)787-0682

Open

430 F StChula Vista, CA 91910

(619)420-3620

Closed

Galvan, Eva MFT 1518084177 MFC48404 AssessmentIndividual Therapy

Family TherapyInpatient Treatment

SpanishTagalog

AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

815 Third Ave Ste 306Chula Vista, CA 91911

(619)410-4930

Open

Geyman, Joy Psy.D. 1336243013 PSY15492 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Critical Incident Stress Debriefing

AdultsOlder Adults

830 Scenic Terrace PlChula Vista, CA 91914

(619)370-7167

Closed

Gonzalez, Abigail MFT 1538190046 MFC36800 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

815 3rd Ave Ste 317Chula Vista, CA 91911

(619)997-0957

Open

815 Third Ave Ste 309Chula Vista, CA 91911

(619)997-8311

Open

Gonzalez, Guillermo MFT 1598807935 MFC46822 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

815 3rd Ave Ste 317Chula Vista, CA 91911

(619)426-8336

Open

Hamrang, Sultana M.D. 1336188739 C50709 AssessmentMedication ManagementMedication Evaluation

AdultsOlder Adults

1908 Sweetwater RdNational City, CA 91950

(619)327-0146

Open

Ishaque, Saleem M.D. 1033124730 A36997 Medication ManagementInpatient Treatment

Outpatient Treatment

AdultsOlder Adults

1908 Sweetwater RdNational City, CA 91950

(619)327-0146

Closed

Jacobs, Carolyn Psy.D. 1093750655 PSY15774 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

AdultsOlder Adults

625 3rd AveChula Vista, CA 91910

(619)525-7747

Open

Jafar, Syed M.D. 1164437521 C53226 Individual TherapyMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Farsi AdolescentsAdults

Older Adults

PO Box 81243San Diego, CA 92138

(619)337-0455

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 76 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 77: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

South Johnson, Arika Psy.D. 1821295585 PSY24229 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Outpatient Treatment

AdultsOlder Adults

Transitional Youth

270 F St Ste 25Chula Vista, CA 91910

(858)273-6763

Open

Kalal, Beth Ph.D. 1669525028 PSY12657 Individual TherapyOutpatient Treatment

AdultsOlder Adults

830 Orange Ave Ste A2Coronado, CA 92118

(619)435-8308

Closed

Karippot, Anoop M.D. 1609979871 C54071 Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

PO Box 81243San Diego, CA 92138

(619)337-0455

Closed

Kugel, Samuel M.D. 1497813968 A54412 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

Critical Incident Stress Debriefing

PortugueseSpanish

AdultsOlder Adults

502 Euclid Ave Ste 305National City, CA 91950

(619)472-2600

Open

Kushnir, Yaroslav M.D. 1730274176 G24238 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

ECT (MD Only)

Russian AdultsOlder Adults

184 Palm AveImperial Beach, CA 91932

(619)585-3000

Closed

5088 Elm StreetSan Diego, CA 91910

(619)585-3000

Closed

709 Third AveChula Vista, CA 91910

(619)585-3000

Closed

Lacey, Audra MFT 1215061254 MFC38530 Individual TherapyOutpatient Treatment

Adults 680 Old Telegraph Canyon Rd Ste 202

Chula Vista, CA 91910(619)559-8591

Open

Le-Hermida, Krissie LCSW 1336195908 LCS15235 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Critical Incident Stress Debriefing

Vietnamese AdolescentsAdults

Children (6-12)Older Adults

625 3rd AveChula Vista, CA 91910

(619)960-9645

Open

Lewis, Araseli Ph.D. 1144395542 PSY25551 Psychological TestingAssessment

Individual TherapyFamily Therapy

Inpatient TreatmentOutpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

830 Scenic Terrace PlChula Vista, CA 91914

(619)722-0014

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 77 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 78: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

South Liefland, Lauren Ph.D. 1629120803 PSY14785 Psychological TestingAssessment

Individual TherapyFamily TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

Critical Incident Stress Debriefing

FrenchItalian

AdolescentsAdults

Older Adults

2345 E 8th St Ste 103National City, CA 91950

(619)267-9108

Open

Meany, Krysta Psy.D. 1629483540 27556 AssessmentIndividual Therapy

Inpatient TreatmentOutpatient Treatment

AdultsOlder Adults

830 Scenic Terrace PlaceChula Vista, CA 91914

(619)722-0014

Open

Melden, Mark D.O. 1982653135 20A7900 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

158 C AveCoronado, CA 92118

(619)435-5400

Closed

Mendoza, Ana M.D. 1922017698 A85866 AssessmentIndividual Therapy

Family TherapyMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

Spanish AdultsOlder Adults

264 I StChula Vista, CA 91910

(619)993-4643

Closed

Miranda, Cynthia Psy.D. 1023186970 PSY21188 Psychological TestingAssessment

Individual TherapyFamily Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

815 3rd Ave Ste 319Chula Vista, CA 91911

(619)691-1880

Closed

Morones, Luis MFT 1922136324 MFC41083 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdultsOlder Adults

237 Church AveChula Vista, CA 91910

(619)672-3495

Closed

Najera, David MFT 1063551802 MFC44692 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Spanish Adults 124 E 30th St Ste A1National City, CA 91950

(619)327-0315

Open

Nefalar, Melissa MFT 1184931859 MFC53720 AssessmentIndividual Therapy

Family Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Transitional Youth

2400 Fenton St Ste 217Chula Vista, CA 91914

(619)356-3562

Open

Newmark, Noreen M.D. 1023064102 A067977 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

1061 Tierra Del Rey Ste 200Chula Vista, CA 91910

(619)498-5454

Closed

Niday, Takeshia M.D. 1013339084 A113548 AssessmentMedication Management

Inpatient TreatmentOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

1908 Sweetwater RdNational City, CA 91950

(619)327-0146

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 78 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 79: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

South Nuhic, Zvjezdan M.D. 1447395181 A98099 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

AdultsOlder Adults

1061 Tierra Del Rey Ste 200Chula Vista, CA 91910

(619)498-5454

Closed

Padra Najera, Valerie MFT 1285772103 MFC48488 AssessmentIndividual Therapy

Family TherapyGroup Therapy

FrenchSpanish

AdultsOlder Adults

Transitional Youth

124 E 30th St Ste A1National City, CA 91950

(619)327-0315

Open

Pease, Maria MFT 1023152048 MFC41513 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

229 F St Ste GChula Vista, CA 91910

(619)819-0266

Open

Pierce, Melissa Psy.D. 1871722199 PSY26118 Psychological TestingHome VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Children (0-5)Children (6-12)

Older AdultsTransitional Youth

1908 Sweetwater DrNational City, CA 91950

(619)327-0146

Open

Rao, Sanjay M.D. 1407994288 A92683 Inpatient Treatment AdultsOlder Adults

PO Box 81243San Diego, CA 92138

(866)803-2262

Closed

Reichard, Ronald MFT 1134210917 MFC41073 Individual TherapyFamily TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

680 Old Telegraph Canyon Rd Ste 202

Chula Vista, CA 91910(619)421-7560

Open

Saben, Laurence M.D. 1669454898 G27446 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (0-5)Children (6-12)

Older Adults

330 Moss StChula Vista, CA 91911

(619)440-7831

Closed

Sanchez, Esperanza LCSW 1407881386 LCS22182 Individual Therapy Spanish AdolescentsAdults

224 Landis AveChula Vista, CA 91910

(619)370-0575

Open

Skomal, Maria MFT 1235294992 MFC43149 AssessmentIndividual Therapy

Family Therapy

Spanish AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

237 Church AveChula Vista, CA 91910

(619)843-0242

Open

Stern-Ellis, Heidi LCSW 1356475313 LCS16941 Children (0-5)Transitional Youth

1261 3rd Ave Ste DChula Vista, CA 91911

(619)420-5611

Open

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 79 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 80: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

South Tadros, Emad M.D. 1487696878 A49500 AssessmentIndividual Therapy

Medication ManagementInpatient Treatment

Outpatient TreatmentMedication Evaluation

AdultsOlder Adults

P.O. Box 81243San Diego, CA 92138

(619)337-0455

Closed

Valverde, Nydia LCSW 1245516434 LCS25264 Home VisitsAssessment

Individual TherapyFamily TherapyGroup Therapy

Spanish AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

3065 Beyer Blvd Ste B-103San Diego, CA 92154

(619)405-7770

Closed

Vemuganti, Venkateshwar M.D. 1033284062 C52914 Medication ManagementOutpatient Treatment

AdultsOlder Adults

2345 E 8th St Unit 103National City, CA 91950

(619)267-9108

Closed

Weiser, Penny Ph.D. 1518180330 PSY16796 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

AdolescentsAdults

Older Adults

815 3rd Ave Ste 107Chula Vista, CA 91911

(619)615-9982

Closed

Weiss, Roberto MFT 1487703476 MFC36060 AssessmentIndividual Therapy

Family TherapyOutpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

815 3rd Ave Ste 319Chula Vista, CA 91911

(619)691-1880

Open

Welland-Akong, Christauria Psy.D. 1326099318 PSY17166 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Inpatient TreatmentOutpatient Treatment

Spanish AdolescentsAdults

Children (6-12)Older Adults

2400 E 4th StNational City, CA 91950

(858)922-8555

Closed

Wigle, Charles MFT 1407911878 MFC29757 AssessmentIndividual Therapy

Family TherapyGroup Therapy

Outpatient Treatment

Spanish AdolescentsAdults

Children (0-5)Children (6-12)

815 3rd Ave Ste 319Chula Vista, CA 91911

(619)691-1880

Closed

Wilcox, Jeanne MFT 1255538955 MFC44222 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (6-12)Transitional Youth

680 Telegraph Canyon Ste 201Chula Vista, CA 91910

(619)246-5611

Open

Wright, Pamela LCSW 1548402092 LCS17367 AssessmentIndividual Therapy

Family TherapyGroup Therapy

AdolescentsAdults

Children (0-5)Children (6-12)

430 F StChula Vista, CA 91910(619)420-5094 ex1127

Closed

Zarankow, Beata M.D. 1902995384 C53656 AssessmentIndividual Therapy

Family TherapyInpatient Treatment

Critical Incident Stress Debriefing

Polish AdolescentsAdults

Children (6-12)Older Adults

Transitional Youth

333 Orange Ave Apt 28Coronado, CA 92118

(619)294-4119

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 80 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region

Page 81: FFS Provider Directory - Optum San Diego · 2016. 8. 15. · Optum Public Sector San Diego is the Administrative Services Organization that manages the FFS Network. Data Source: TRES

Region Name Specialty NPI California License Number

Services Languages Population Address Open/Closed to

New Referrals

South Zeidman, Heywood M.D. 1205876786 G27873 AssessmentMedication ManagementOutpatient TreatmentMedication Evaluation

AdolescentsAdults

Children (6-12)

PO Box 81243San Diego, CA 92138

(619)337-0455

Closed

Data Source: TRES IIIFee-For-Service Provider Directory

Prepared By Optum PS SDDate Run 8/15/2016

Page: 81 of 81

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 888-724-7240 for immediate assistance 24 hours a day, 7 days a week.

County of San Diego Behavioral Health ServicesFee-For-Service Provider Directory

Sorted by Region