Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ROOT HEALING SD
NPI 1396650248
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Root Healing Sd's NPI number?

The NPI number for Root Healing Sd is 1396650248. It was assigned to this organization in the NPPES registry on August 17, 2026.

Q: What is Root Healing Sd'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 Root Healing Sd was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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 August 17, 2026

5434 OLIVE ST UNIT A, SAN DIEGO, CA 92105(619) 840-9440 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Root Healing Sd NPPES

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

ROOT HEALING SD (NPI 1396650248) is a healthcare organization registered as a psychiatric/mental health in San Diego, California and active in the NPI registry since August 2026. The organization lists Michelle Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1396650248

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameROOT HEALING SD

Location Address5434 OLIVE ST UNIT ASan Diego, CA 92105-5054

Mailing Address5434 Olive St Unit ASan Diego, CA 92105-5054 · (619) 840-9440

Phone(619) 840-9440

Organization SubpartNo

Authorized OfficialMichelle JacksonOwner · (619) 840-9440

Enumeration DateAugust 17, 2026

NPPES CertifiedAugust 17, 2026

✔ NPI 1396650248 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

5434 OLIVE ST UNIT A, San Diego, CA 92105

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MS. MICHELLE JACKSON NP

Nurse Practitioner

5434 OLIVE ST UNIT A
SAN DIEGO, CA 92105

San Diego County (619) 840-9440

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 Root Healing Sd's NPI number?

The NPI number for Root Healing Sd is 1396650248. It was assigned to this organization in the NPPES registry on August 17, 2026.

Where is Root Healing Sd located?

Root Healing Sd is located at 5434 Olive St Unit A, San Diego, CA 92105. The listed phone number is (619) 840-9440.

What is Root Healing Sd's specialty?

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

When was this NPI record last updated?

The NPPES record for Root Healing Sd was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.