MR. JOSHUA DON DOUGHERTY PMHNP
NPI 1104442185
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Joshua Dougherty's NPI number?

The NPI number for Joshua Dougherty is 1104442185. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Q: What is Joshua Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Dougherty was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2020PECOS Enrolled

1550 HOTEL CIR N STE 450, SAN DIEGO, CA 92108(619) 692-1581(619) 528-4625 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2020, Jun 24, 2020 (2 updates tracked since 2020).

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About Mr. Joshua Don Dougherty Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSHUA DON DOUGHERTY PMHNP (NPI 1104442185) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (NP95015591) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104442185

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. JOSHUA DON DOUGHERTYCredential: PMHNP

Location Address1550 HOTEL CIR N STE 450San Diego, CA 92108-2933

Mailing AddressPo Box 609001San Diego, CA 92160-9001 · (619) 528-4600 · Fax (619) 528-4625

Phone(619) 692-1581

Fax(619) 528-4625

Sole ProprietorNo

Enumeration DateJune 24, 2020

Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration

NPPES CertifiedOctober 20, 2020

✔ NPI 1104442185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · NP95015591

1550 HOTEL CIR N STE 450, San Diego, CA 92108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Joshua Don Dougherty Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SALVATORE DINOVO PH.D.

Psychologist