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

MS. Mary J Tichacek, RN, PMHNP-BC, PMHCNS

Individual provider Registered Nurse · NPI 1841836244

MS. Mary J Tichacek, RN, PMHNP-BC, PMHCNS is a Nurse Practitioner in San Diego, California. Qualified in 1994, 32 years ago. Practices with Pacific Coast Psychiatric Associates Inc, a 632-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
32
Licensed in
CA
In the registry since
2019
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11515 El Camino Real Ste 100
San Diego, CA 92130-3034
Phone: (858) 279-1223
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2417 Marshall Ave Ste 1, Imperial, CA 92251-9401 — (858) 245-1195

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95024198 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 202048 (CA)
Clinical Nurse Specialist Taxonomy 364S00000X · Licence 207 (CA)

Record details

NPI number1841836244
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , PMHNP-BC , PMHCNS
Sole proprietorNo
NPI enumeratedNovember 20, 2019
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Pacific Coast Psychiatric Associates Inc — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Diego