MEDICARE: EMPOWER PSYCHIATRY OF SAN DIEGO, A NURSING CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1003779182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWER PSYCHIATRY OF SAN DIEGO, A NURSING CORPORATION

Provider Business Mailing Address
First Line	:	6671 HALITE PL
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-1738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6671 HALITE PL
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-1738
Country	:	US
Telephone Number	:	574-261-5059
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAUREN DEBSKI
Credential	:
Telephone Number	:	302-593-0226

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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