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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Joshua Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark David Levine, MD Fresno
316 mi
Psychiatry
5100 N 6TH ST, STE 135
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mark David Levine MD Professional Corporation
  • 329 clinicians in this Medicare group
NPI 1124387097 (559) 490-2067

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 20

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

DR. SALVATORE DINOVO PH.D.
Psychologist
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
San Diego County (619) 692-1581
JULIA ADREANA PYATYSHEV MFT
Marriage & Family Therapist
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
San Diego County (619) 692-1581
DR. DEVORAH L HALEVY ACSW
Social Worker
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
San Diego County (619) 692-1581
CHRISTINE MARIE THURSTON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
San Diego County (855) 501-1004
DR. ELLEN KAUFMAN QUICK PH.D.
Psychologist
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
San Diego County (619) 692-1581
MS. HEATHER RAQUEL URIBE LMFT 104719
Marriage & Family Therapist
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
San Diego County (619) 692-1581
DR. JOHN C. LOWRY DO
Psychiatry & Neurology (Psychiatry)
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
San Diego County (619) 692-1581
JUDY LYNN TABB MFT
Marriage & Family Therapist
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
San Diego County (619) 692-1581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Joshua Dougherty located?

Joshua Dougherty practices at 1550 Hotel Cir N Ste 450, San Diego, CA 92108. The listed phone number is (619) 692-1581.

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.

Is Joshua Dougherty enrolled in Medicare?

Yes. Joshua Dougherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joshua Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Dougherty reassigns Medicare benefits to Mark David Levine, MD Fresno (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.