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ROOTED LIFE
NPI 1679357685
Community/Behavioral Health in San Diego, CA

Active since August 21, 2023
6315 CONNIE DR, SAN DIEGO, CA 92115(619) 915-4186(619) 810-9201 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2024, Aug 21, 2023 (2 updates tracked since 2023).

About Rooted Life NPPES

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

ROOTED LIFE (NPI 1679357685) is a healthcare organization registered as a community/behavioral health in San Diego, California and active in the NPI registry since August 2023. The organization lists Tracey Wilson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1679357685
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameROOTED LIFE
Location Address6315 CONNIE DRSan Diego, CA 92115-2521
Mailing Address864 Grand Ave # 802San Diego, CA 92109-3906 · (619) 648-1600
Phone(619) 915-4186
Fax(619) 810-9201
Organization SubpartNo
Authorized OfficialTracey WilsonChief Executive Officer · (619) 357-6472
Enumeration DateAugust 21, 2023
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1679357685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
6315 CONNIE DR, San Diego, CA 92115
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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 Rooted Life's NPI number?

The NPI number for Rooted Life is 1679357685. It was assigned to this organization in the NPPES registry on August 21, 2023.

Where is Rooted Life located?

Rooted Life is located at 6315 Connie Dr, San Diego, CA 92115. The listed phone number is (619) 915-4186.

What is Rooted Life's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Rooted Life was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.