ARCHWAY BEHAVIORAL HEALTH SERVICES ADVANCED PRACTICE NURSING CORP
NPI 1891661161
Nursing Care in San Diego, CA

Active since October 14, 2025
5055 N HARBOR DR STE 320, SAN DIEGO, CA 92106(619) 335-2939(619) 353-0423 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Archway Behavioral Health Services Advanced Practice Nursing Corp NPPES

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

ARCHWAY BEHAVIORAL HEALTH SERVICES ADVANCED PRACTICE NURSING CORP (NPI 1891661161) is a healthcare organization registered as a nursing care in San Diego, California and active in the NPI registry since October 2025. The organization lists Amy Clark, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1891661161
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameARCHWAY BEHAVIORAL HEALTH SERVICES ADVANCED PRACTICE NURSING CORP
Location Address5055 N HARBOR DR STE 320San Diego, CA 92106-2302
Mailing Address5055 N Harbor Dr Ste 320San Diego, CA 92106-2302 · (619) 335-2939 · Fax (619) 353-0423
Fax(619) 353-0423
Organization SubpartNo
Authorized OfficialAmy ClarkOwner/president · (619) 335-2939
Enumeration DateOctober 14, 2025
Last NPPES UpdateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1891661161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
5055 N HARBOR DR STE 320, San Diego, CA 92106

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Archway Behavioral Health Services Advanced Practice Nursing Corp 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 Archway Behavioral Health Services Advanced Practice Nursing Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1942942792
11878 AVENUE OF INDUSTRY
San Diego, CA 92128
(858) 487-3200
✔ PECOS✔ Accepts Medicare20 mi

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 Archway Behavioral Health Services Advanced Practice Nursing Corp's NPI number?

The NPI number for Archway Behavioral Health Services Advanced Practice Nursing Corp is 1891661161. It was assigned to this organization in the NPPES registry on October 14, 2025.

Where is Archway Behavioral Health Services Advanced Practice Nursing Corp located?

Archway Behavioral Health Services Advanced Practice Nursing Corp is located at 5055 N Harbor Dr Ste 320, San Diego, CA 92106. The listed phone number is (619) 335-2939.

What is Archway Behavioral Health Services Advanced Practice Nursing Corp's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Is Archway Behavioral Health Services Advanced Practice Nursing Corp enrolled in Medicare?

Yes. Archway Behavioral Health Services Advanced Practice Nursing Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Archway Behavioral Health Services Advanced Practice Nursing Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Archway Behavioral Health Services Advanced Practice Nursing Corp. 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 Archway Behavioral Health Services Advanced Practice Nursing Corp was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.