Healthcare Provider Details

I. General information

NPI: 1093667958
Provider Name (Legal Business Name): SAN DIEGO UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 CARDINAL LN
SAN DIEGO CA
92123-3743
US

IV. Provider business mailing address

2351 CARDINAL LN ANNEX B
SAN DIEGO CA
92123-3743
US

V. Phone/Fax

Practice location:
  • Phone: 619-362-3100
  • Fax: 858-496-2113
Mailing address:
  • Phone: 619-362-3100
  • Fax: 858-496-2113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JAMIE SCHAUBEL
Title or Position: MENTAL HEALTH ADMIN AIDE
Credential:
Phone: 619-362-3100