Provider Demographics
NPI:1205012937
Name:SAN DIEGO UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SAN DIEGO UNIFIED SCHOOL DISTRICT
Other - Org Name:SC-EARLY CHILDHOOD MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MENTAL HEALTH ADMIN AIDE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAUBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-573-2227
Mailing Address - Street 1:5816 ALLEGHANY STREET B18
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92139
Mailing Address - Country:US
Mailing Address - Phone:619-344-5200
Mailing Address - Fax:
Practice Address - Street 1:5816 ALLEGHANY ST # B18
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92139-1712
Practice Address - Country:US
Practice Address - Phone:619-344-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAN DIEGO UNIFIED SCHOOL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health