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DEBORAH BUKOLT
NPI 1174843072
Community/Behavioral Health in San Diego, CA

Active since June 03, 2010
2772 4TH AVE, SAN DIEGO, CA 92103(619) 295-6067 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deborah Bukolt NPPES

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

DEBORAH BUKOLT (NPI 1174843072) is an individual community/behavioral health provider in San Diego, California and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1174843072
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameDEBORAH BUKOLT
Location Address2772 4TH AVESan Diego, CA 92103-6206
Mailing Address355 C AveCoronado, CA 92118-1405 · (619) 319-7789
Phone(619) 295-6067
Sole ProprietorYes
Enumeration DateJune 3, 2010
Last NPPES UpdateJune 7, 2011
✔ NPI 1174843072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2772 4TH AVE, San Diego, CA 92103
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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.

CATHERINE FREUND
Student in an Organized Health Care Education/Training Program
2772 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 295-6067
BRYNNE EVANS
Student in an Organized Health Care Education/Training Program
2772 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 295-6067
MEIJEN CHAPA LONG
Counselor (Mental Health)
2772 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 957-9065
COMMUNITY RESEARCH FOUNDATION
Community/Behavioral Health
2772 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 295-6067
JENNIFER GOUDREAU M.A.
Counselor (Mental Health)
2772 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 295-6067
MRS. EDNA LARISSA VELAZQUEZ-WOLF
Counselor
2772 4TH AVE, 2ND FLOOR
SAN DIEGO, CA 92103
San Diego County (619) 295-6067
NINFA MARTINEZ B.A.
Counselor (Mental Health)
2772 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 295-6067
LOURDES VANESSA PULIDO
Counselor
2772 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 295-6067

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 Deborah Bukolt's NPI number?

The NPI number for Deborah Bukolt is 1174843072. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Deborah Bukolt located?

Deborah Bukolt practices at 2772 4th Ave, San Diego, CA 92103. The listed phone number is (619) 295-6067.

What is Deborah Bukolt's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Deborah Bukolt was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.