Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Intricate Mind Institute, LLC

Organization Cognitive & Behavioral Psychologist · NPI 1457638124

Intricate Mind Institute, LLC is a Cognitive & Behavioral Psychologist in San Diego, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3990 Old Town Ave Ste A207
San Diego, CA 92110-2967
Phone: (858) 205-9809
Fax: (858) 205-9809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence PSY17553 (CA)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence PSY23448 (CA)

Record details

NPI number1457638124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Baker-Ericzen — Director · (858) 205-9809
NPI enumeratedNovember 9, 2011
Last updated in NPPESNovember 9, 2011
Mailing address3990 Old Town Ave Ste A207, San Diego, CA 92110-2967

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