Healthcare Provider Details

I. General information

NPI: 1376469114
Provider Name (Legal Business Name): THE NEIGHBORHOOD HOUSE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5473 KEARNY VILLA RD STE 300
SAN DIEGO CA
92123-1142
US

IV. Provider business mailing address

5473 KEARNY VILLA RD STE 300
SAN DIEGO CA
92123-1142
US

V. Phone/Fax

Practice location:
  • Phone: 619-521-9569
  • Fax:
Mailing address:
  • Phone: 619-993-2519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: DESIREE BRITTAIN
Title or Position: LICENSED SUPERVISING DIRECTOR
Credential: LMFT
Phone: 619-993-2519