Healthcare Provider Details

I. General information

NPI: 1619530938
Provider Name (Legal Business Name): ENCOMPASS BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 10/21/2021
Certification Date: 10/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2292 FARADAY AVE
CARLSBAD CA
92008-7238
US

IV. Provider business mailing address

2292 FARADAY AVE
CARLSBAD CA
92008-7238
US

V. Phone/Fax

Practice location:
  • Phone: 858-822-8277
  • Fax: 800-907-7476
Mailing address:
  • Phone: 858-822-8277
  • Fax: 800-907-7476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURIE KRISTINE TARTER
Title or Position: OWNER / EXECUTIVE DIRECTOR
Credential: PSY.D, BCBA, LBA
Phone: 858-822-8277