BEHAVIORAL MENTAL HEALTH PC
NPI 1609828755
Psychologist - Clinical in San Diego, CA

Q: What is Behavioral Mental Health PC's NPI number?

The NPI number for Behavioral Mental Health PC is 1609828755. It was assigned to this organization in the NPPES registry on May 17, 2006.

Q: What is Behavioral Mental Health PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 17, 2006

3111 CAMINO DEL RIO N STE 400, SAN DIEGO, CA 92108(858) 205-5486 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2023, Aug 22, 2020 (2 updates tracked since 2020).

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About Behavioral Mental Health Pc NPPES

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

BEHAVIORAL MENTAL HEALTH PC (NPI 1609828755) is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since May 2006. The organization lists Marjan Davoudi, Owner, as its authorized official.

NPPES Registry Identity

NPI1609828755

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBEHAVIORAL MENTAL HEALTH PC

Location Address3111 CAMINO DEL RIO N STE 400San Diego, CA 92108-5724

Mailing AddressPo Box 2585La Jolla, CA 92038-2585 · (858) 205-5486

Phone(858) 205-5486

Organization SubpartNo

Authorized OfficialMarjan DavoudiOwner · (858) 205-5486

Enumeration DateMay 17, 2006

Last NPPES UpdateJune 24, 20262 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1609828755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 060009174 (IL)

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

3111 CAMINO DEL RIO N STE 400, San Diego, CA 92108

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Behavioral Mental Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Behavioral Mental Health PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marjan Davoudi, PSY.D.

Clinical Psychologist

NPI 1174575245

3111 CAMINO DEL RIO N STE 400
San Diego, CA 92108

(858) 205-5486

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Behavioral Mental Health PC's NPI number?

The NPI number for Behavioral Mental Health PC is 1609828755. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Behavioral Mental Health PC located?

Behavioral Mental Health PC is located at 3111 Camino Del Rio N Ste 400, San Diego, CA 92108. The listed phone number is (858) 205-5486.

What is Behavioral Mental Health PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Behavioral Mental Health PC enrolled in Medicare?

Yes. Behavioral Mental Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Behavioral Mental Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Behavioral Mental Health PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Behavioral Mental Health PC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.