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DASHA WITCH-HAZEL MACTAVISH
NPI 1679225759
Peer Specialist in San Diego, CA

Active since January 20, 2022
1660 HOTEL CIR N STE 314, SAN DIEGO, CA 92108(619) 961-2120 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dasha Witch-hazel Mactavish NPPES

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

DASHA WITCH-HAZEL MACTAVISH (NPI 1679225759) is an individual peer specialist in San Diego, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1679225759
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameDASHA WITCH-HAZEL MACTAVISH
Location Address1660 HOTEL CIR N STE 314San Diego, CA 92108-2803
Mailing Address1660 Hotel Cir N Ste 314San Diego, CA 92108-2803
Phone(619) 961-2120
Sole ProprietorNo
Enumeration DateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1679225759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1660 HOTEL CIR N STE 314, San Diego, CA 92108
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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.

KIARAH WILKS
Case Manager/Care Coordinator
1660 HOTEL CIR N STE 314
SAN DIEGO, CA 92108
San Diego County (619) 961-2120
NATASHA JACKSON LMFT
Marriage & Family Therapist
1660 HOTEL CIR N STE 314
SAN DIEGO, CA 92108
San Diego County (619) 759-1548
YSABELLA MARIA CERVANTES
Peer Specialist
1660 HOTEL CIR N STE 314
SAN DIEGO, CA 92108
San Diego County (619) 961-2120
BROOKE LYNN DORGAN
Case Manager/Care Coordinator
1660 HOTEL CIR N STE 314
SAN DIEGO, CA 92108
San Diego County (619) 961-2120
MARITESS BURGOS
Peer Specialist
1660 HOTEL CIR N STE 314
SAN DIEGO, CA 92108
San Diego County (619) 759-1548
MR. MITCHELL BRADSHAW
Case Manager/Care Coordinator
1660 HOTEL CIR N STE 314
SAN DIEGO, CA 92108
San Diego County (619) 759-1548
MRS. SARAH MONU MOLLET-FOLTA
Counselor (Professional)
1660 HOTEL CIR N STE 314
SAN DIEGO, CA 92108
San Diego County (619) 961-2120
AMBER BAYONA LCSW
Social Worker (Clinical)
1660 HOTEL CIR N STE 314
SAN DIEGO, CA 92108
San Diego County (619) 961-2120

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 Dasha Mactavish's NPI number?

The NPI number for Dasha Mactavish is 1679225759. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Where is Dasha Mactavish located?

Dasha Mactavish practices at 1660 Hotel Cir N Ste 314, San Diego, CA 92108. The listed phone number is (619) 961-2120.

What is Dasha Mactavish's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Dasha Mactavish was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.