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KASSIDY GRAHAM PMHNP-BC
NPI 1457993461
Nurse Practitioner - Psychiatric/Mental Health in Lemon Grove, CA

Active since October 10, 2019
2049 SKYLINE DR, LEMON GROVE, CA 91945(925) 813-2112 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, Apr 25, 2026, Dec 24, 2019 and 2 more (5 updates tracked since 2019).

About Kassidy Graham Pmhnp-bc NPPES

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

KASSIDY GRAHAM PMHNP-BC (NPI 1457993461) is an individual psychiatric/mental health provider in Lemon Grove, California, licensed in California (95036390) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1457993461
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKASSIDY GRAHAMCredential: PMHNP-BC
Location Address2049 SKYLINE DRLemon Grove, CA 91945-4221
Mailing Address1400 N Johnson Ave Ste 101El Cajon, CA 92020-1651
Phone(925) 813-2112
Sole ProprietorYes
Enumeration DateOctober 10, 2019
Last NPPES UpdateMay 21, 20265 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1457993461 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
License✔ Licensed in CA · 95036390
2049 SKYLINE DR, Lemon Grove, CA 91945
Open in Google Maps ↗

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 20

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

STEVEN FREMLAND
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
CAROLINE JANE LONG
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
SANDRA DENISE DOUGLAS
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
EDDY FUENTES JR.
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 442-0277
MR. MICHEAL LAWRENCE TARVER
Counselor (Mental Health)
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 456-7303
JONATHAN DETRANT CMPSS
Peer Specialist
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 442-0277
DAISY DOYLE
Case Manager/Care Coordinator
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
CASSIE DOVE LMFT
Marriage & Family Therapist
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303

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 Kassidy Graham's NPI number?

The NPI number for Kassidy Graham is 1457993461. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Kassidy Graham located?

Kassidy Graham practices at 2049 Skyline Dr, Lemon Grove, CA 91945. The listed phone number is (925) 813-2112.

What is Kassidy Graham'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 Kassidy Graham was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.