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NPI Code Detail

MEDICARE: MENTAL HEALTH SYSTEMS, INC.

MEDICARE: MENTAL HEALTH SYSTEMS, INC.
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
1324500000XSubstance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023146826
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL HEALTH SYSTEMS, INC.
Provider Business Mailing Address
First Line : 9465 FARNHAM STREET
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123
Country : US
Telephone Number : 858-573-2600
Fax Number :
Provider Business Practice Location Address
First Line : 1100 SPORTFISHER DR
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-2550
Country : US
Telephone Number : 760-439-6702
Fax Number : 760-439-4779
Authorized Official
Title or Position : PRESIDENT/CEO
Name : JAMES C. CALLAGHAN JR.
Credential :
Telephone Number : 858-573-2600
Provider Enumeration Date : 03/01/2007
Last Update Date : 05/16/2025

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