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BOLD HEALTH MEDICAL GROUP, A PROFESSIONAL CORPORATION
NPI 1245749688
Clinic/Center - Mental Health (Including Community Mental Health Center) in Encinitas, CA

Active since September 28, 2017CLIA Certified · 2 labs
561 SAXONY PL STE 101, ENCINITAS, CA 92024(760) 503-5703 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Oct 13, 2022, Aug 18, 2021 and 1 more (4 updates tracked since 2020).

About Bold Health Medical Group, A Professional Corporation NPPES

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

BOLD HEALTH MEDICAL GROUP, A PROFESSIONAL CORPORATION (NPI 1245749688), doing business as Bold Health, is a healthcare organization registered as a mental health (including community mental health center) in Encinitas, California and active in the NPI registry since September 2017. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Encinitas, and lists Kathryn Papier Hirst, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1245749688
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBOLD HEALTH MEDICAL GROUP, A PROFESSIONAL CORPORATION
Location Address561 SAXONY PL STE 101Encinitas, CA 92024-7700
Mailing Address561 Saxony Pl Ste 101Encinitas, CA 92024-7700
Phone(760) 503-5703
Organization SubpartNo
Authorized OfficialKathryn Papier HirstChief Medical Officer · (760) 503-4703
Enumeration DateSeptember 28, 2017
Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1245749688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
561 SAXONY PL STE 101, Encinitas, CA 92024
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Other Names 2

Doing Business AsBold Health
Doing Business AsBold Health Medical Group

Secondary Practice Location 1

Location 1617 Saxony Pl Ste 103Encinitas, CA 92024-2797 · Phone (760) 503-4703

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2137485

Bold Health Medical Group A Professional Corporation · Encinitas, CA
Active · expires Sep 26, 2027
CLIA Number05D2137485
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorKathryn P. Hirst
Laboratory Phone(760) 503-4703
Laboratory LocationBold Health Medical Group A Professional Corporation561 Saxony Place Ste 101, Encinitas, CA 92024
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2320456

Bold Health Medical Group, East Office · Encinitas, CA
Active · expires Mar 17, 2027
CLIA Number05D2320456
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorKathryn P. Hirst
Laboratory Phone(760) 503-4703
Laboratory LocationBold Health Medical Group, East Office617 Saxony Place, Ste 103, Encinitas, CA 92024
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

LESLIE ANNE HEARN
Marriage & Family Therapist
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703
DR. KATHRYN PAPIER HIRST M.D.
Psychiatry & Neurology (Psychiatry)
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703
VERONICA SANCHEZ MA
Marriage & Family Therapist
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703
BITA KODI PMHNP-BC, FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703
MS. PAULA HOLLIS SHAW CADC L
Counselor (Addiction (Substance Use Disorder))
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (626) 864-0756
PORTER VERFURTH
Marriage & Family Therapist
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703
DR. DAVID J PRINTZ M.D.
Psychiatry & Neurology (Psychiatry)
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (858) 652-1740
NEETHU JACOB PA-C
Physician Assistant
561 SAXONY PL STE 101
ENCINITAS, CA 92024
San Diego County (760) 503-4703

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 Bold Health Medical Group, A Professional Corporation's NPI number?

The NPI number for Bold Health Medical Group, A Professional Corporation is 1245749688. It was assigned to this organization in the NPPES registry on September 28, 2017. The provider is doing business as Bold Health and Bold Health Medical Group.

Where is Bold Health Medical Group, A Professional Corporation located?

Bold Health Medical Group, A Professional Corporation is located at 561 Saxony Pl Ste 101, Encinitas, CA 92024. The listed phone number is (760) 503-5703.

What is Bold Health Medical Group, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Bold Health Medical Group, A Professional Corporation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Bold Health Medical Group, A Professional Corporation was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.