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SAN LUIS OBISPO PSYCHIATRIC HEALTH FACILITY
NPI 1861698300
Psychiatric Hospital in San Luis Obispo, CA

Active since June 22, 2007
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 781-4700(805) 781-1273 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Luis Obispo Psychiatric Health Facility NPPES

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

SAN LUIS OBISPO PSYCHIATRIC HEALTH FACILITY (NPI 1861698300) is a healthcare organization registered as a psychiatric hospital in San Luis Obispo, California and active in the NPI registry since June 2007. The organization lists M. Daisy Ilano, Mental Health Director, as its authorized official.

NPPES Registry Identity

NPI1861698300
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameCOUNTY OF SAN LUIS OBISPO
Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535
Mailing Address2178 Johnson AveSan Luis Obispo, CA 93401-4535 · (805) 781-4700 · Fax (805) 781-1273
Phone(805) 781-4700
Fax(805) 781-1273
Organization SubpartNo
Authorized OfficialM. Daisy IlanoMental Health Director · (805) 781-4700
Enumeration DateJune 22, 2007
Last NPPES UpdateAugust 22, 2013
✔ NPI 1861698300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in CA · 02016035
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
2178 JOHNSON AVE, San Luis Obispo, CA 93401
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Other Names 1

Doing Business AsSan Luis Obispo Psychiatric Health Facility

Other Identifiers 2

Medicaid4048CA
Medicare PINCP065ACA

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.

CALLIE ROSE BOLLER
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
CAMDEN SCHLEISNER
Psychiatric Hospital
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
SUSIE JULIANA BAUTISTA
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4960
THOMAS BURDICK
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISBO, CA 93401
San Luis Obispo County (805) 781-4711
KIMBERLY SEAMAN
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
JENNIFER N KUIKEN LPT
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4712
RONALD ANTHONY VERDUSCO
Nurse's Aide
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
RANDY LEE SCHEIDERER PSYCHIATRIC TECH
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4723

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 County Of San Luis Obispo's NPI number?

The NPI number for County Of San Luis Obispo is 1861698300. It was assigned to this organization in the NPPES registry on June 22, 2007. The provider is doing business as San Luis Obispo Psychiatric Health Facility.

Where is County Of San Luis Obispo located?

County Of San Luis Obispo is located at 2178 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 781-4700.

What is County Of San Luis Obispo's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for County Of San Luis Obispo was last updated on August 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.