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

Mrs. Heather Tiffany Dougherty, MSNRNPMHNP-BC

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1033853114

Mrs. Heather Tiffany Dougherty, MSNRNPMHNP-BC is a Nurse Practitioner in San Diego, California. Qualified in 2021, 5 years ago. Practices with Mark David Levine MD Professional Corporation, a 157-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

11770 Bernardo Plaza Ct Ste 370
San Diego, CA 92128-2426
Phone: (858) 673-3360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2116 Raymond Ave, Ramona, CA 92065-3034 — (760) 703-7380
  • 11878 Avenue Of Industry, San Diego, CA 92128-3423 — (858) 487-3200

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95021374 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 95093407 (CA)

Record details

NPI number1033853114
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNRNPMHNP-BC
Sole proprietorNo
NPI enumeratedApril 25, 2022
Last updated in NPPESJuly 2, 2022
Certification dateJuly 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mark David Levine Md Professional Corporation — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Diego