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

Scripps Psychiatric Medical Group

Organization Psychiatry Physician · NPI 1477908507

Scripps Psychiatric Medical Group is a Psychiatry Physician in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

4077 Fifth Ave Scripps Mercy Hospital
San Diego, CA 92103-2105
Phone: (619) 359-6600
Fax: (619) 632-5736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence G28587 (CA)

Record details

NPI number1477908507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurance Cracroft — President · (619) 359-6600
NPI enumeratedApril 26, 2016
Last updated in NPPESApril 26, 2016
Mailing address550 Washington St Ste 841, San Diego, CA 92103-2232

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