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INTRICATE MIND INSTITUTE, LLC
NPI 1457638124
Psychologist - Cognitive & Behavioral in San Diego, CA

Active since November 09, 2011
3990 OLD TOWN AVE STE A207, SAN DIEGO, CA 92110(858) 205-9809(858) 205-9809 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Intricate Mind Institute, Llc NPPES

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

INTRICATE MIND INSTITUTE, LLC (NPI 1457638124) is a healthcare organization registered as a cognitive & behavioral in San Diego, California and active in the NPI registry since November 2011. The organization lists Mary J Baker-ericzen, Director, as its authorized official.

NPPES Registry Identity

NPI1457638124
Entity TypeOrganization
Primary Taxonomy103TB0200X
Legal Business NameINTRICATE MIND INSTITUTE, LLC
Location Address3990 OLD TOWN AVE STE A207San Diego, CA 92110-2967
Mailing Address3990 Old Town Ave Ste A207San Diego, CA 92110-2967 · (858) 205-9809 · Fax (858) 205-9809
Phone(858) 205-9809
Fax(858) 205-9809
Organization SubpartNo
Authorized OfficialMary J Baker-ericzenDirector · (858) 205-9809
Enumeration DateNovember 9, 2011
✔ NPI 1457638124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in CA · PSY17553
Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PSY23448 (CA)
3990 OLD TOWN AVE STE A207, San Diego, CA 92110
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

DR. MARY J BAKER-ERICZEN PHD
Psychologist (Intellectual and Developmental Disabilities)
3990 OLD TOWN AVE STE A207
SAN DIEGO, CA 92110
San Diego County (858) 699-7978

Frequently Asked Questions

What is INTRICATE MIND INSTITUTE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1457638124, enumerated as an "organization" on November 09, 2011.

Where is the provider located?

The provider is located at 3990 OLD TOWN AVE STE A207 SAN DIEGO, CA 92110 and the phone number is (858) 205-9809.

What is the provider's specialty?

Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.