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

Michael Paul Licht II

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1437654217

Michael Paul Licht II is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

4309 3rd Ave
San Diego, CA 92103-1407
Phone: (619) 876-4502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 Moss St, Chula Vista, CA 91911-2005 — (619) 585-4230

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 95114434 (CA)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 95114434 (CA)

Record details

NPI number1437654217
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESMarch 26, 2018

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