Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SUNROOT PSYCHIATRIC WELLNESS, A PROFESSIONAL NURSING CORPORATION
NPI 1952229130
Nurse Practitioner - Psychiatric/Mental Health in Lakeside, CA

Q: What is Sunroot Psychiatric Wellness, A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 07, 2026

12307 WILLOW RD, LAKESIDE, CA 92040(619) 792-0513 Get Directions Write a Review

NPPES record added: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sunroot Psychiatric Wellness, A Professional Nursing Corporation NPPES

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

SUNROOT PSYCHIATRIC WELLNESS, A PROFESSIONAL NURSING CORPORATION (NPI 1952229130) is a healthcare organization registered as a psychiatric/mental health in Lakeside, California and active in the NPI registry since July 2026. The organization lists Jenna Marie Fazio, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952229130

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSUNROOT PSYCHIATRIC WELLNESS, A PROFESSIONAL NURSING CORPORATION

Location Address12307 WILLOW RDLakeside, CA 92040-1426

Mailing Address2108 N St Ste NSacramento, CA 95816-5712 · (619) 792-0513

Phone(619) 792-0513

Organization SubpartNo

Authorized OfficialJenna Marie FazioCeo · (619) 792-0513

Enumeration DateJuly 7, 2026

NPPES CertifiedJuly 7, 2026

✔ NPI 1952229130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

12307 WILLOW RD, Lakeside, CA 92040

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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA STRANSKY FAMILY COUNSELING SERVICES INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))

12307 WILLOW RD
LAKESIDE, CA 92040

San Diego County (619) 636-0075

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 Sunroot Psychiatric Wellness, A Professional Nursing Corporation's NPI number?

The NPI number for Sunroot Psychiatric Wellness, A Professional Nursing Corporation is 1952229130. It was assigned to this organization in the NPPES registry on July 7, 2026.

Where is Sunroot Psychiatric Wellness, A Professional Nursing Corporation located?

Sunroot Psychiatric Wellness, A Professional Nursing Corporation is located at 12307 Willow Rd, Lakeside, CA 92040. The listed phone number is (619) 792-0513.

What is Sunroot Psychiatric Wellness, A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sunroot Psychiatric Wellness, A Professional Nursing Corporation was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.