1. Home
  2. Directory
  3. California
  4. San Diego
  5. Counselor
  6. NPI Profile

MARY LYNN DIMASI SUDRC
NPI 1174380521
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since March 04, 2024
1750 5TH AVE, SAN DIEGO, CA 92101(619) 515-2588 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Lynn Dimasi Sudrc NPPES

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

MARY LYNN DIMASI SUDRC (NPI 1174380521) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (17182) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1174380521
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY LYNN DIMASICredential: SUDRC
Location Address1750 5TH AVESan Diego, CA 92101-2754
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Phone(619) 515-2588
Sole ProprietorNo
Enumeration DateMarch 4, 2024
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1174380521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 17182
1750 5TH AVE, San Diego, CA 92101
Open in Google Maps ↗

Other Providers at the Same Location NPPES 13

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

COTY MARIE SPARKS
Counselor (Addiction (Substance Use Disorder))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588
AURORA MIRANDA PEREZ SUD
Counselor (Addiction (Substance Use Disorder))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588
FATIMAH SARA NADIMI LCSW
Social Worker (Clinical)
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588
FAMILY HEALTH CENTERS OF SAN DIEGO INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588
KRISTINA LYNN VARSHO RAC
Counselor (Addiction (Substance Use Disorder))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588
MICHAEL DAVID ANTHONY CMPSS
Peer Specialist
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 255-7243
KIMBERLEY ANN COULSON RADT I
Counselor (Addiction (Substance Use Disorder))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 255-5058
LETICIA REYES RADT I
Counselor (Addiction (Substance Use Disorder))
1750 5TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 515-2588

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 Mary Dimasi's NPI number?

The NPI number for Mary Dimasi is 1174380521. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Where is Mary Dimasi located?

Mary Dimasi practices at 1750 5th Ave, San Diego, CA 92101. The listed phone number is (619) 515-2588.

What is Mary Dimasi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Dimasi was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.