Intricate Mind Institute, Llc
Mental Retardation & Developmental Disabilities - Psychology Clinic
3990 Old Town Ave Ste A207, San Diego
California, 92110-2967
858-205-9809 858-205-9809
Maps & DirectionsIntricate Mind Institute, Llc is a Mental Retardation & Developmental Disabilities - Psychology Clinic in San Diego, California. It is located at 3990 Old Town Ave Ste A207, San Diego, CA and its contact number is 858-205-9809. The authorized person for Intricate Mind Institute, Llc is Dr. Mary J Baker-ericzen
who is Director of the clinic and his/her contact number is 858-205-9809. The primary license number for Intricate Mind Institute, Llc is PSY17553 (Cognitive & Behavioral) in California.
Intricate Mind Institute, Llc Clinic
Complete Clinic Profile:
Intricate Mind Institute, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Intricate Mind Institute, Llc |
| Specialization: | Mental Retardation & Developmental Disabilities Psychology |
| Clinic Address: | 3990 Old Town Ave Ste A207, San Diego,
California, 92110-2967 |
| Phone: | 858-205-9809 |
| Fax: | 858-205-9809 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mary J Baker-ericzen |
| Position: | Director |
| Contact Number: | 858-205-9809 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Intricate Mind Institute, Llc clinic are as mentioned below.
| NPI Number: | 1457638124 |
| NPI Enumeration Date: | 09 Nov, 2011 |
| NPI Last Update On: | 09 Nov, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Intricate Mind Institute, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Cognitive & Behavioral | PSY17553 | California | Primary | |
| Mental Retardation & Developmental Disabilities | PSY23448 | California | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Intricate Mind Institute, Llc
3990 Old Town Ave Ste A207,
San Diego, California |
| Zip: | 92110-2967 |
| Phone Number: | 858-205-9809 |
| Fax Number: | 858-205-9809 |
Patients can reach Intricate Mind Institute, Llc at
3990 Old Town Ave Ste A207, San Diego, California or can
call to book an appointment on 858-205-9809.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.