County of San Diego Behavioral Health Services Provider Directory

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Prepared By: Optum PS SD Page: 1 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Mental Health Plan (MHP) Specialty Mental Health and Drug Medi‐Cal Organized Delivery System (DMC‐ODS) Services Specialty mental health services and Drug Medi‐Cal Organized Delivery System (DMC‐ODS) are provided through the County of San Diego Mental Health Plan, which are separate from your physical health care.

The Mental Health Plan and Drug Medi‐Cal Organized Delivery System (DMC‐ODS) services are committed to providing quality mental health and DMC-ODS services to eligible adults, older adults, and children experiencing serious and persistent mental health problems and or substance use disorder issues. Mental health services and DMC-ODS are confidential and are based on the belief that people can, and do, recover from mental illness and substance use disorders. Even though asking for help with mental health problems or substance use issues may be a challenge, help is just a phone call away.

MENTAL HEALTH TYPES OF SERVICES AVAILABLE DMC‐ODS TYPES OF SERVICES AVAILABLE Services are located throughout San Diego County. The Directory lists the services locations for each program in the column called “Region.”

Mental health assessments Brief Outpatient for At‐Risk Youth and Young Adults Group and Individual rehabilitation Outpatient Treatment Group and Individual therapy Intensive Outpatient Treatment Crisis Intervention Short‐Term Residential Treatment Crisis Stabilization Withdrawal Management (formerly Detox) 24 hour psychiatric emergency care Medication‐Assisted Treatment Medication support services Opioid Treatment Programs Integrated services for mental health and substance abuse Case Management Client and family peer support services Recovery Support Services Inpatient psychiatric care Adult residential care Case Management and conservatorship Services to homeless persons Recovery Clubhouses Vocational and employment services Children’s outpatient school-based services Short term residential therapeutic services Day treatment, wraparound and therapeutic behavioral services for children Therapeutic Foster Care services

COMMONLY ASKED QUESTIONS:

When does a person need help? When they experience severe feelings of sadness, hopelessness, severe anxiety or panic attacks and/or crying spells. When they exhibit extreme mood swings with impulsive dangerous or bizarre behavior. When there are serious behavior problems with a child. When there are mental health problems affected by substance abuse. When they experience suicidal thoughts and self harm When they start giving away their belongings. When they are threatening to kill or hurt themselves or others. When they are hearing or seeing things others believe are not there

* Do I have to pay for services? Services are available for individuals and families with Medi-Cal, limited insurance or no insurance. Programs may charge a fee for services based on an individual's income and ability to pay. No one will be denied services based on ability to pay. Client fees may be waived for Medi-Cal eligible persons participating in Medi-Cal certified services (except for required share of cost).

*How can I search the printed directory? Press Ctrl and F keys simultaneously for search option.

* Who do I contact if I need services for me or a family member? Find out which services are available in your community by calling 1-888-724-7240 TTY 711 to speak to a licensed clinician that can assist you to find the best fit for you or your family member. You may call this number 24 hours a day, 7 days a week in any language of your preference. All providers accept new clients, unless otherwise noted.

If you prefer to connect via chat you can go to: www.optumsandiego.com to chat with a counselor Monday through Friday from 4pm to 10pm. San Diego Access and Crisis Line clinicians can assist you to find a provider to meet your needs. If you want to communicate via e-mail with the programs, please visit program website for e-mail options.

* Do programs and providers accept new beneficiaries? All programs and providers accept new beneficiaries, unless otherwise noted. All appointments will be to the facility not the individual provider. After an assessment is completed, the appropriate healthcare professional will be assigned based upon your needs

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* Who do I contact if I need Language Interpreter Services? In addition to languages spoken by providers and listed for each program, free interpreter services are available at all County Behavioral Health programs or Individual Network Providers.

* Should I see a therapist or a psychiatrist? Find out which is right for you by calling 1-888-724-7240 TTY 711 to speak to a licensed clinician that can assist you to find the best fit for you or your family member. You may call this number 24 hours a day, 7 days a week in any language of your preference. If you prefer to connect via chat you can go to: www.optumsandiego.com to chat with a counselor Monday through Friday from 4pm to 10pm. San Diego Access and Crisis Line clinicians can assist you to find a provider to meet your needs.

* What is meant by timely access to care? Beneficiaries have the right to appointments within the following time frames: Urgent – 48 hours; Routine (Non-Urgent) – 10 business days for non-psychiatrist; 15 business days for psychiatrist. The wait time for a routine appointment may be longer if the provider has determined and documented that a longer time period will not negatively impact the beneficiary's health. If you need assistance with a timely referral to an appropriate provider, please contact the Access in Crisis Line at 1-888-724-7240 TTY 711.

The following services covered through the Medi-Cal benefit require authorization as outlined: · Inpatient Psychiatric Hospitalization: Treating hospital: please call Optum for authorization at 1‐800‐798‐2254, Option 3. · Long Term Care: Pre-authorization is required. Treating hospital to request authorization on the client’s behalf by calling Optum at 1-800-798-2254, Option 6. · Outpatient Specialty Mental Health Services: For referrals, please contact the San Diego Access and Crisis Line, 1-888-724-7240 TTY 711. Providers to request authorization on the client’s behalf by submitting Outpatient Authorization Request.

* Where can I report inaccuracies in the Behavioral Health Services provider directory? California residents may report possible inaccurate, incomplete or misleading information listed in the provider directory by calling 1-800-482-7114 or emailing [email protected].

*How can I obtain a free printed version of the Behavioral Health Services provider directory? For California Residents Only: If you are unable to print a copy of the provider directory from this website, please call 1-888-724-7240 TTY 711 to request a printed copy of providers in your area or e-mail [email protected]. To request a copy in writing, send a request to this address noting that you need a copy of the “Behavioral Health Services” provider directory to Optum Public Sector Division P.O. Box 601340 San Diego, CA 92160-1340.

For members outside of California: Please check with your provider before scheduling your appointment or receiving services to confirm that the provider is participating in our network.

American Disabilities Act Notice: In accordance with the requirements of federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), we provide full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities. All provider facilities have accommodations for people with disabilities including offices, exam rooms and equipment.

Nondiscrimination Notice and Access to Communication Services: Except as restricted by State licensing regulations, services are provided without discrimination on the basis of race, color, religion, national origin, ancestry, physical or mental disability, medical condition, marital status, sex, sexual orientation, age, veteran status, or ability to pay. All program staff complete annual training in Cultural Competence and provide culturally and linguistically appropriate services unless otherwise noted.

Free services are available to help you communicate with us. Such as, letters in other languages, or in other formats like large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free number 1-888-724-7240 TTY 711.

If you think you weren’t treated fairly because of your sex, age, race, color, national origin, or disability, or if you have a complaint, grievance or would like to appeal a decision made about your inpatient or outpatient treatment, you can call the Advocates listed: INPATIENT: Call JFS Patient Advocacy Services at 1-800-479-2233; or OUTPATIENT: Call the Consumer Center for Health Education and Advocacy at 1-877-734-3258.

You can also file a complaint with the U.S. Dept. of Health and Human services. Online https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html Phone: Toll-free 1-800-368-1019, 800-537-7697 (TDD)

Mail: U.S. Dept. of Health and Human Services. 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 Provider information contained in this directory is updated monthly at a minimum, but may have changed since the last update. Only County of San Diego programs that provide direct services to clients are included in this directory.

Please note: Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.

This information is available in other formats like large print. To ask for another format, please call the toll-free number (888) 724-7240 TTY 711.

If you or someone you know is currently experiencing a life threatening emergency please call 911. If you are experiencing a behavioral health crisis or need additional referrals you can call the Access and Crisis Line at 1-888-724-7240 TTY 711 for immediate assistance 24 hours a day, 7 days a week.

Prepared By: Optum PS SD Page: 3 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

About Our Services The San Diego Access and Crisis Line (ACL) is operated by OptumHealth and has offered San • Free, confidential support in all languages Diego County residents free, confidential counseling and community resources since 1997. • Crisis Intervention • Suicide Prevention • Referrals for mental health and/or alcohol and drug needs Free, confidential support in all languages • Referrals to other related resources Who Can Call 7 days a week / 24 hours a day • Anyone who is struggling with issues such as depression, anxiety, loss or anger • Family members or friends who are concerned about someone

• People who are thinking about harming themselves or others We are here for you! • Professionals seeking resources for their clients

888-724-7240 619-641-6992 TTY

You have the right to get help and information in your language at no cost. To request an interpreter, call (888) 724-7240 , TTY 711. This letter is also available in other formats like large print. To request the document in another format, please call (888) 724‐7240 , TTY 711.

1 Spanish Tiene derecho a obtener ayuda e información en su idioma sin costo alguno. Para solicitar un intérprete, llame al (888) 724-7240 y presione el dos (2). TTY 711

2 Chinese 您有權利免費以您的母語得到幫助和訊息。洽詢一位翻譯員，請撥電話(888) 724-7240，再按 0。聽力語言殘障服務專線 711

3 Vietnamese Quý vị có quyền được giúp đỡ và cấp thông tin bằng ngôn ngữ của quý vị miễn phí. Để yêu cầu được thông dịch viên giúp đỡ, vui lòng gọi (888) 724-7240, bấm số 0. TTY 711

4 Tagalog May karapatan kang makatanggap ng tulong at impormasyon sa iyong wika nang walang bayad. Upang humiling ng tagasalin, tumawag sa (888) 724-7240 pindutin ang 0. TTY 711

5 Korean 귀하는 도움과 정보를 귀하의 언어로 비용 부담없이 얻을 수 있는 권리가 있습니다. 통역사를 요청하기 위해서는 (888) 724-7240로 전화하여 0번을 누르십시오. TTY 711

6 Armenian Դուք իրավունք ունեք անվճար օգնություն և տեղեկություններ ստանալու Ձեր նախընտրած լեզվով։ Թարգմանիչ պահանջէլու համար զանգահարե՛ք (888) 724-7240 սեղմե՛ք 0։ TTY 711

7 Persian 0 (888) 724 ‐ 7240 . TTY 711

8 Russian Вы имеете право на бесплатное получение помощи и информации на вашем языке. Чтобы подать запрос переводчика позвоните по телефону (888) 724-7240 и нажмите 0. Линия TTY 711

9 Japanese ご希望の言語でサポートを受けたり、情報を入手したりすることができます。料金はかかりません。通訳をご希望の場合は、 (888) 724-7240までお電話の上、0を押してください。TTY専用番号は 711です。

10 Arabic .0 (888) 724 ‐ 7240 . TTY 711

11 Panjabi ਤਤਤਤਤਤ ਤਤਤ ਤਤਤਤ ਤਤਤਤ ਤਤਤਤ ਤਤਤਤਤਤ ਤਤਤ ਤਤਤਤਤਤਤ ਤਤਤਤ ਤਤਤਤਤਤ ਤਤਤ ਤਤ ਤਤਤਤਤਤ ਤਤ| ਤਤਤਤਤਤਤ ਤਤ (888) 724-7240 ਤਤਤ ਤਤਤਤ ਤਤਤਤਤਤਤ 711 ਤਤ ਤਤਤਤ ਤਤਤ, 0 ਤਤਤਤ|

12 Mon-Khmer, ਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤ ਤਤਤਤਤਤਤਤਤਤ ਤਤਤਤਤਤਤਤਤਤਤਤਤਤ ਤਤਤਤਤਤਤਤਤਤਤਤਤਤ ਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤਤ ਤਤਤਤਤਤਤਤ (888) 724-7240 ਤਤਤਤਤਤ ਤਤਤਤਤਤ 0ਤ TTY 711 Cambodian 13 Hmong Koj muaj cai tau kev pab thiab tau cov ntaub ntawv sau ua koj hom lus pub dawb. Yog xav tau ib tug neeg txhais, hu rau (888) 724-7240, nias 0. TTY 711

14 Hindi ਤਤ ਤਤ ਤਤਤ ਤਤਤਤ ਤਤਤਤ ਤਤਤ ਤਤਤਤਤਤ ਤਤਤ ਤਤਤਤਤਤਤ ਤਤ:ਤਤਤਤਤ ਤਤਤਤਤਤਤ ਤਤਤਤ ਤਤ ਤਤਤਤਤਤ ਤਤਤ ਤਤਤਤਤਤਤ ਤਤ ਤਤਤ (888) 724-7240 ਤਤ ਤਤਤ ਤਤਤਤ, 0 ਤਤਤਤਤਤ TTY 711

15 Thai คุณมีสิทธิที่จะได้รับความช่วยเหลือและข้อมูลในภาษาของคุณได้โดยไม่มีค่าใช้จ่าย หากต้องการขอล่ามแปลภาษา โปรดโทรศัพท์ถึงหมายเลข (888)724-7240 และกด 0 สาหรับผู้ที่มีความบกพร่องทางการได้ยิ นหรือการพูด โปรดโทรฯถึงหมายเลข 711

Prepared By: Optum PS SD Page: 4 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL COUNTY OF SAN DIEGO MORENA Strengths Based Case Management for Adults North Central Open Yes Adult (18+) REED, Mental Health 1508244708 English 9/13/2021 HEALTH CASE STRENGTH BASED CASE 18-59 years old JOCELYN Rehabilitation MANAGEMENT MANAGEMENT Specialist RINEAR, ERIK Licensed 1740702794 3927 English 9/13/2021 1250 Morena Blvd, 2nd Floor Professional San Diego, CA, 92110 Clinical 619-692-8715 Counselor www.sandiegocounty. ROBERSON, Associate 1043398530 85157 English 9/13/2021 gov/hhsa/programs/bh MARVIN O Clinical Social s/mental_health_servic Worker es_adult_older_adult/case_managem RODRIGUEZ, Licensed 1477758514 29697 English 9/13/2021 ent.html NANCY H Marriage and Spanish Family Therapist RUIZ, Other 1447384169 English 9/13/2021 JESSICA Qualitified Spanish Provider SHERMAN, Associate 1013470673 88054 English 9/13/2021 STEPHANIE Clinical Social Worker TECLE, Associate 1831596402 88645 English 9/13/2021 TSION Clinical Social Worker TYSSELAND- Licensed 1558630434 74083 English 9/13/2021 MCMINN, Clinical Social SARAH Worker VIEW, HYUN Licensed 1831315696 48898 English 9/13/2021 AH K Marriage and Family Therapist WATSON, Licensed 1871976571 7747 English 9/13/2021 TERESA Professional Clinical Counselor MENTAL HEALTH SYSTEMS INC. Short-Doyle Medi-Cal certified program to North Open Yes Adult (18+) ERIKSEN, Mental Health 1891973715 English 9/13/2021 FULL SERVICE PARTNERSHIP provide a Full Service Partnership (FSP) Coastal,North EYCLEISHA Rehabilitation (FSP) STRENGTHS-BASED CASE Strengths-Based Case Management (SBCM) Inland Specialist MANAGEMENT (SBCM) - NORTH for clients age 18-59, which shall include HAMAMA, Associate 1568941847 91160 English 9/13/2021 COASTAL & NORTH INLAND recovery-oriented strength-based clinical case ALEXIS E Clinical Social REGIONS. management services to persons with serious Worker mental illness (SMI) in the North Coastal and 474 W. Vermont Ave., Suite 103 North Inland Regions. HERNANDEZ, Mental Health 1235744657 English 9/13/2021 Escondido, CA, 92025 ULISESS Rehabilitation 760-294-1281 ext. 410 Specialist KARIMI, TINA Associate 1285082156 123277 English 9/13/2021 www.mhsinc.org Marriage Family Therapist LANE, Mental Health 1730210923 English 9/13/2021 ALEJANDRA Rehabilitation Spanish Specialist LOPEZ, Associate 1578932349 95610 English 9/13/2021 JAZMINE C Clinical Social Worker MORRIS, Mental Health 1780010702 English 9/13/2021 MERCEDES R Rehabilitation Specialist NEWBERRY, Associate 1578041083 86066 English 9/13/2021 LISA Clinical Social Worker

Prepared By: Optum PS SD Page: 8 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL TELECARE CORP TRANSITION Provide services for persons 18+ through: Countywide Open Yes Adult (18+) BRADY, Nurse 1952797540 95004809 English 9/13/2021 HEALTH CASE TEAM Short-term intensive Transition Team to serve KATELYN A Practitioner MANAGEMENT people who are or have recently been 1660 Hotel Circle North, Suite 101 hospitalized. CAPOBIANCO Physician 1750394656 64840 English 9/13/2021 San Diego, CA, 92108 , MARC 619-683-3100 CHARLES, Mental Health 1457820425 English 9/13/2021 www.telecarecorp.com/san-diego- VICTORIA Rehabilitation transition-team Specialist DICKMANN, Licensed 1073015103 64692 English 9/13/2021 KEVIN D Vocational Nurse HEYWARD, Mental Health 1568942068 English 9/13/2021 TEVIN I Rehabilitation Specialist HUDSON, Licensed 1578923488 111593 English 9/13/2021 JESSICA Marriage and Family Therapist LOBUE, Mental Health 1851801799 English 9/13/2021 JOSEPH Rehabilitation Specialist LUNDEBERG, Associate 1841770351 87130 English 9/13/2021 HOLLY Clinical Social Worker MENDEZ, Mental Health 1073965000 English 9/13/2021 BEAMLI Rehabilitation Spanish Specialist OTTESON, Mental Health 1609437193 English 9/13/2021 TRAVIS Rehabilitation Specialist STROUT, Licensed 1396183489 71693 English 9/13/2021 ELIZABETH C Clinical Social Worker ULLOA, ANA Mental Health 1326521964 English 9/13/2021 M Rehabilitation Spanish Specialist USKOKOVIC, Associate 1760993364 82436 English 9/13/2021 SHAWNA M Clinical Social Worker VISTA HILL FOUNDATION VHF- In addition to our provider consultations, East,North Open Yes All Ages CARDENAS- Physician 1801980891 76392 English 9/13/2021 SMARTCARE- ALPINE FAMILY SmartCare BHCS is there to support patient Inland WALLENFELT Spanish MEDICINE-ALPINE families in connecting with behavioral health , PATRICIA P support services that meet their needs. MADRID, Licensed 1063876308 111848 English 9/13/2021 1620 Alpine Blvd. SmartCare BHCS is ready to help primary care MARIA Marriage and Spanish Alpine, CA, 91901 providers and their patients develop a plan to Family 760-742-9919 successfully address any behavioral health Therapist concern. Consultation for Providers: Provides www.vistahillsmartcare.org real-time access to psychiatric and behavioral health treatment consultation and referrals for Primary Care Providers and their patients. Family Support Services: Strives to help families who need support in accessing care and understanding the impact of behavioral health symptoms.

Prepared By: Optum PS SD Page: 9 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL VISTA HILL FOUNDATION VISTA In addition to our provider consultations, North Inland Open Yes All Ages CARDENAS- Licensed 1801980891 76392 English 9/13/2021 HEALTH CASE HILL FOUNDATION - RURAL SmartCare BHCS is there to support patient WALLENFELT Psychiatrist Spanish MANAGEMENT INTEGRATED BEHAVIORAL families in connecting with behavioral health , PATRICIA P HEALTH & PRIMARY support services that meet their needs. PLASCENCIA, Licensed 1952723736 113536 English 9/13/2021 CARE/SMARTCARE SmartCare BHCS is ready to help primary care CINDY Marriage and Spanish providers and their patients develop a plan to Family 16650 Highway 76 successfully address any behavioral health Therapist Pauma Valley, CA, 92061 concern. Consultation for Providers: Provides 760-742-9919 real-time access to psychiatric and behavioral health treatment consultation and referrals for www.vistahillsmartcare.org Primary Care Providers and their patients. Family Support Services: Strives to help families who need support in accessing care and understanding the impact of behavioral health symptoms. MENTAL TELECARE CORP AGE WISE AgeWise provides county-wide older adult Countywide Open Yes Older Adult (60+) ARDELL, Mental Health 1447873971 English 9/13/2021 HEALTH CASE STRENGTHS BASED CASE case management to individuals 60+ and has KATHLEEN B Rehabilitation Spanish MANAGEMENT MANAGEMENT two components: the Strengths-Based Case Specialist MENTAL Management (SBCM) FSP and the BOURCIER, Licensed 1104981125 51833 English 9/13/2021 HEALTH 6160 Mission Gorge Road Suite 108 Institutional Case Management (ICM) JEANINE M Marriage and OUTPATIENT San Diego, CA, 92120 program. The SBCM FSP program provides Family 619-481-5200 case management and mental health services Therapist with a focus on rehabilitation and recovery. SBCM also has housing subsidies for eligible CHERRY, Associate 1528674553 94254 English 9/13/2021 individuals DARIANNE L Clinical Social Worker CLEWLEY, Mental Health 1407467327 English 9/13/2021 REIAN L Rehabilitation Specialist GARCIA, Associate 1669915542 73793 English 9/13/2021 ASUKA M Clinical Social Worker GONZALES, Mental Health 1659987311 English 9/13/2021 CAROLINE Rehabilitation Specialist GOOD, Associate 1750617015 87202 English 9/13/2021 GREGORY M Marriage Family Therapist HAILU, Mental Health 1912537275 English 9/13/2021 MENBER Y Rehabilitation Spanish Specialist JACKSON, Mental Health 1649831660 English 9/13/2021 PARIS M Rehabilitation Specialist KENNY, Mental Health 1871098244 English 9/13/2021 BRE'ANN C Rehabilitation Specialist KNIGHT, Mental Health 1952937393 English 9/13/2021 KELLY Y Rehabilitation Specialist LAUBACH, Mental Health 1063053270 English 9/13/2021 GREGORY Rehabilitation Specialist MANDAVA, Associate 1356816185 92938 English 9/13/2021 SHEELA Clinical Social Worker MCQUERTER, Mental Health 1780223495 English 9/13/2021 ASHLEY C Rehabilitation Spanish Specialist MENDEZ- Mental Health 1487264016 English 9/13/2021 NICKELS, Rehabilitation Spanish ARMONIE E Specialist PAAUWE, Licensed 1578645222 66502 English 9/13/2021 KAREN S Clinical Social Worker

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MENTAL TELECARE CORP PATHWAYS TO To achieve this, our team provides Countywide Open Yes Adult (18+) ALVAREZ, Other 1376156067 English 9/13/2021 HEALTH CASE RECOVERY LONG TERM CARE psychosocial rehabilitative, recovery-oriented, Older Adult (60+) JERICA M Qualitified MANAGEMENT intensive, community-based services to help Provider MENTAL 3132 Jefferson Street you navigate the mental health system and AMUNDSON, Mental Health 1609386648 English 9/13/2021 HEALTH San Diego, CA, 92110 take positive steps toward the things that NICOLE Rehabilitation OUTPATIENT/ matter in your life. Specialist REHABILITATI ON BONAPARTE, Associate 1043419302 122503 English 9/13/2021 DEAUNDRA Marriage Family Therapist BROWN, Other 1467066282 English 9/13/2021 JOSHUA M Qualitified Provider CABRERA, Licensed 1124427463 261666 English 9/13/2021 ROMANIQUE Vocational Spanish Nurse CEDILLO, Other 1306461918 English 9/13/2021 MIRIAM Y Qualitified Provider CONROY, Other 1437764289 English 9/13/2021 BRITTNEY Qualitified Provider CROTHERS, Mental Health 1336750827 English 9/13/2021 GABRIELLA E Rehabilitation Spanish Specialist DELAVINA, Licensed 1235454976 216050 English 9/13/2021 KIM Vocational Tagalog Nurse DEMOS, Mental Health 1639784853 English 9/13/2021 MAXINE S Rehabilitation Specialist DONLON, Associate 1316441132 92544 English 9/13/2021 SHANNON M Clinical Social Worker DOWNS, Mental Health 1326575861 English 9/13/2021 CODY R Rehabilitation Specialist ENRIQUEZ, Physician 1649590175 126231 English 9/13/2021 ROBERT J

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STOFFEL, Mental Health 1669098489 English 9/13/2021 REBECCA Rehabilitation Specialist VASCONCEL Other 1033723614 English 9/13/2021 OS, MARIANA Qualitified Spanish Provider VERDUGO, Mental Health 1225554520 English 9/13/2021 WENDY T Rehabilitation Specialist VIGIL, Associate 1922654961 116408 English 9/13/2021 JESSICA Marriage Family Therapist VOJTAS, Mental Health 1063939775 English 9/13/2021 KELLI N Rehabilitation Specialist WHIPPLE, Physician 1992080691 53767 English 9/13/2021 MICHELLE Assistant

WILSON, ANN Licensed 1972013910 275954 English 9/13/2021 MARIE Vocational Nurse MENTAL NEIGHBORHOOD HOUSE Outpatient mental health clinic providing Central Open Yes Adult (18+) AUSTRIA, Registered 1962601443 559998 English 9/13/2021 HEALTH CASE ASSOCIATION PROJECT ENABLE - treatment, rehabilitation, and recovery services MAYLIE M Nurse Tagalog MANAGEMENT BPSR to adults age 18+ who have serious mental MENTAL illness (SMI), including those who may have a AUSTRIA, Registered 1962601443 559998 English 9/13/2021 HEALTH 286 Euclid Avenue, Suite 102 co-occurring substance use disorder. MAYLIE M Nurse Tagalog OUTPATIENT/ San Diego, CA, 92114 REHABILITATI 619-266-2111 ON BAZEMORE, Other 1982240818 English 9/13/2021 MENTAL www.neighborhoodhouse.org OKEKE K Qualitified HEALTH DAY Provider TREATMENT BAZEMORE, Other 1982240818 English 9/13/2021 OKEKE K Qualitified Provider BILLINGS, Mental Health 1720554918 English 9/13/2021 CHRISTINA A Rehabilitation Specialist BILLINGS, Mental Health 1720554918 English 9/13/2021 CHRISTINA A Rehabilitation Specialist BOYSEN, 1528401486 English 9/13/2021 MEGAN C

BOYSEN, 1528401486 English 9/13/2021 MEGAN C

BUCHANAN, Associate 1346870771 English 9/13/2021 BRIGGITTE Professional Clinical Counselor BUCHANAN, Associate 1346870771 English 9/13/2021 BRIGGITTE Professional Clinical Counselor

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DOLNAK, Physician 1316147085 20A6059 English 9/13/2021 DOUGLAS R

FAGAN, Registered 1902453418 577368 English 9/13/2021 SHERILYN L Nurse

JOHNSON, Nurse 1295049229 20022 English 9/13/2021 CHRISTINE M Practitioner

OVERTON, Associate 1942738109 5221 English 9/13/2021 EBONY G Professional Clinical Counselor OVERTON, Associate 1942738109 5221 English 9/13/2021 EBONY G Professional Clinical Counselor RODIRGUEZ, Other 1912569419 English 9/13/2021 ISRAEL Qualitified Spanish Provider RODIRGUEZ, Other 1912569419 English 9/13/2021 ISRAEL Qualitified Spanish Provider SOUVENIR, Licensed 1477072502 292358 English 9/13/2021 SHANICE L Vocational Nurse SOUVENIR, Licensed 1477072502 292358 English 9/13/2021 SHANICE L Vocational Nurse

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SABOL, Associate 1528624814 4249 English 9/13/2021 SAMANTHA W Professional Clinical Counselor SCRIVENS, Associate 1962915272 102899 English 9/13/2021 BRITTANY J Marriage Family Therapist SLOAN, Mental Health 1710300991 English 9/13/2021 HILLARY Rehabilitation Specialist WHITE, Mental Health 1881192052 English 9/13/2021 JUANA Rehabilitation Spanish Specialist

Prepared By: Optum PS SD Page: 15 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL SAN DIEGO UNIFIED SCHOOL Marcy School, a day rehabilitation program is Countywide Open by Yes Children (6-18) BROWNELL, Mental Health 1801393418 English 9/13/2021 HEALTH DAY DISTRICT MARCY SCHOOL an alternative high school for students whose Authorization KRISTIN Rehabilitation TREATMENT underlying mental health issues impede their Only Specialist 4150 Ute Dr ability to benefit from an education within a FORD, ALAN Mental Health 1205355401 English 9/13/2021 San Diego, CA, 92117 comprehensive school setting. Rehabilitation 858-283-8941 Specialist HILL, Mental Health 1780708719 English 9/13/2021 TERRENCE Rehabilitation Specialist JOHNSON, Licensed 1023382819 45829 English 9/13/2021 LESLEY A Marriage and Family Therapist LOHSE, Licensed 1790968071 21917 English 9/13/2021 STEPHANIE Clinical Social Worker MESNIK, Licensed 1336439355 84018 English 9/13/2021 MARIANA A Marriage and Spanish Family Therapist MUSHONGA, Mental Health 1598893844 English 9/13/2021 LUMUMBA Rehabilitation Specialist PADILLA, Mental Health 1891981908 English 9/13/2021 EDUARDO Rehabilitation Spanish Specialist POMAROLLI, Mental Health 1942706205 English 9/13/2021 MARK Rehabilitation Specialist SMITH, Mental Health 1346370806 English 9/13/2021 PAMELA Rehabilitation Specialist SULLIVAN, Mental Health 1952800120 English 9/13/2021 COLIN Rehabilitation Specialist SWAHILI-EL, Mental Health 1295971166 English 9/13/2021 PERNELL Rehabilitation Specialist WORRLEIN, Licensed 1588684880 26835 English 9/13/2021 SHAWN Clinical Social Worker ZUALET, Licensed 1649315631 23731 English 9/13/2021 HEATHER N Clinical Social Worker SAN DIEGO UNIFIED SCHOOL New Dawn High School, a day rehabilitation Countywide Open by Yes Children (6-18) AGUILERA, Mental Health 1275663718 English 9/13/2021 DISTRICT NEW DAWN HIGH program, is an alternative high school for Authorization LISA Rehabilitation SCHOOL students whose underlying mental health Only Specialist issues impede their ability to benefit from an ALMEIDA, Mental Health 1083863757 English 9/13/2021 5650 Mt. Ackerly Dr education within a comprehensive school ANDRE Rehabilitation San Diego, CA, 92111 setting. Specialist 858-496-1655 BEY, Mental Health 1124525936 English 9/13/2021 GREGORY Y Rehabilitation Specialist BOYEA, Licensed 1851437578 50099 English 9/13/2021 JENNIFER Marriage and Family Therapist COLEN, Associate 1104302132 78205 English 9/13/2021 ANGELIQUE Clinical Social Worker DORSEY- Mental Health 1265562789 English 9/13/2021 GUILLORY, Rehabilitation LORI Specialist GREEN, Mental Health 1336629286 English 9/13/2021 DAVID Rehabilitation Specialist Prepared By: Optum PS SD Page: 16 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL SAN DIEGO UNIFIED SCHOOL New Dawn High School, a day rehabilitation Countywide Open by Yes Children (6-18) HEARD, Mental Health 1699805101 English 9/13/2021 HEALTH DAY DISTRICT NEW DAWN HIGH program, is an alternative high school for Authorization CHARLES Rehabilitation TREATMENT SCHOOL students whose underlying mental health Only Specialist issues impede their ability to benefit from an LAPOINTE, Licensed 1891919528 48072 English 9/13/2021 5650 Mt. Ackerly Dr education within a comprehensive school JANICE T Marriage and San Diego, CA, 92111 setting. Family 858-496-1655 Therapist LOHSE, Licensed 1790968071 21917 English 9/13/2021 STEPHANIE Clinical Social Worker MADISON, Mental Health 1205166014 English 9/13/2021 MARK Rehabilitation Specialist MASON, Mental Health 1376063883 English 9/13/2021 SAMUEL Rehabilitation Specialist PALMERI, Mental Health 1679603187 English 9/13/2021 MATTHEW Rehabilitation Specialist VICKERY, Licensed 1689822082 102766 English 9/13/2021 LYNNESA E Marriage and Spanish Family Therapist MENTAL PATHWAYS COMMUNITY Provide Prevention and Early Intervention Countywide Open Yes Children (6-18) ALVARADO, Mental Health 1962014001 English 9/13/2021 HEALTH SERVICES, - EARLY (PEI) services for persons age 10-25 who Transition Age Youth PAULINA Rehabilitation Spanish EARLY INTERVENTION FOR PREVENTION have emerging ‘prodromal’symptoms of (16-25) Specialist INTERVENTIO OF PSYCHOSIS PROGRAM psychosis. This program has three service ARELLANO, Other 1558983114 English 9/13/2021 N components including:1) Prevention, through FEDRA Qualitified Spanish 6160 Mission Gorge Rd, Suite 100 public education;2) Early Intervention, through Provider San Diego, CA, 92120 screening potentially at risk youth; and3) 619-481-3790 Intensive Treatment, with treatment of youth ARMENTA, Mental Health 1568094712 English 9/13/2021 who are identified as at risk and their families. ARISBET A Rehabilitation Spanish www.kickstartsd.org/ Specialist BELKNAP, Associate 1578001673 107340 English 9/13/2021 LAURA E Marriage Family Therapist BLANTON- Occupational 1184166316 16845 English 9/13/2021 HUBBARD, Therapist ELISE R CABRERA, Associate 1801353685 5529 English 9/13/2021 NATIVIDAD R Professional Spanish Clinical Counselor DANIELS, Other 1225438674 English 9/13/2021 TIFFANY Qualitified Spanish Provider EDWARDS, Licensed 1598075111 87660 English 9/13/2021 JOSEPH E Marriage and Family Therapist GARRETT, Licensed 1437399748 102866 English 9/13/2021 MICHAEL J Marriage and Family Therapist GOMEZ Associate 1104483031 6428 English 9/13/2021 NUNEZ, Professional Spanish MONTSERRA Clinical T Counselor GRAVEN, Licensed 1154596229 48648 English 9/13/2021 HOPE Marriage and Family Therapist KRAUSS, Other 1609362003 English 9/13/2021 MICHELLE A Qualitified Provider

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SANDOVAL, Associate 1487078291 115175 English 9/13/2021 ERICA Marriage Family Therapist SMITH, SEAN Licensed 1477184919 689343 English 9/13/2021 A Vocational Nurse TO, Other 1003318221 English 9/13/2021 HAMILTON Qualitified Provider PATHWAYS COMMUNITY Provide Prevention and Early Intervention Countywide Open Yes Children (6-18) ALVARADO, Mental Health 1962014001 English 9/13/2021 SERVICES, LLC KICKSTART- (PEI) services for persons age 10-25 who Transition Age Youth PAULINA Rehabilitation Spanish EARLY INTERVENTION FOR have emerging ‘prodromal’symptoms of (16-25) Specialist PREVENTION OF PSYCHOSIS psychosis. This program has three service ARELLANO, Other 1558983114 English 9/13/2021 PROGRAM components including:1) Prevention, through FEDRA Qualitified Spanish public education;2) Early Intervention, through Provider 6160 Mission Gorge Rd, Suite 100 screening potentially at risk youth; and3) San Diego, CA, 92120 Intensive Treatment, with treatment of youth ARMENTA, Mental Health 1568094712 English 9/13/2021 619-481-3790 who are identified as at risk and their families. ARISBET A Rehabilitation Spanish Specialist www.kickstartsd.org/ BELKNAP, Associate 1578001673 107340 English 9/13/2021 LAURA E Marriage Family Therapist BLANTON- Occupational 1184166316 16845 English 9/13/2021 HUBBARD, Therapist ELISE R CABRERA, Associate 1801353685 5529 English 9/13/2021 NATIVIDAD R Professional Spanish Clinical Counselor DANIELS, Other 1225438674 English 9/13/2021 TIFFANY Qualitified Spanish Provider EDWARDS, Licensed 1598075111 87660 English 9/13/2021 JOSEPH E Marriage and Family Therapist GARRETT, Licensed 1437399748 102866 English 9/13/2021 MICHAEL J Marriage and Family Therapist GOMEZ Associate 1104483031 6428 English 9/13/2021 NUNEZ, Professional Spanish MONTSERRA Clinical T Counselor GRAVEN, Licensed 1154596229 48648 English 9/13/2021 HOPE Marriage and Family Therapist

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SANDOVAL, Associate 1487078291 115175 English 9/13/2021 ERICA Marriage Family Therapist SMITH, SEAN Licensed 1477184919 689343 English 9/13/2021 A Vocational Nurse TO, Other 1003318221 English 9/13/2021 HAMILTON Qualitified Provider VISTA HILL FOUNDATION VISTA Integrated behavioral health and primary care North Inland Open Yes All Ages SCHUTZ, Licensed 1578746517 28043 English 9/13/2021 HILL FOUNDATION- RURAL Prevention and Early Intervention and ROBERTA M Clinical Social Spanish INTEGRATED BEHAVIORAL Community Services and Support services for Worker HEALTH & PRIMARY CARE/ children and adults.Provide quality care by SMARTCARE working hand-in-hand with local rural clinics to provide behavioral health screening, 2721 Washington Street evaluation, education and short-term Julian, CA, 92036 counseling. The services are for patients of all 760-788-9724 ages.

www.vistahillsmartcare.org

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REED, Other 1982213955 English 9/13/2021 ELIZABETH A Qualitified Provider ROMO, Mental Health 1689212615 English 9/13/2021 ISABELLA Rehabilitation Spanish Specialist

Prepared By: Optum PS SD Page: 20 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL MENTAL HEALTH SYSTEMS INC. Assertive Community Treatment Intensive Countywide Open Yes Transition Age Youth GALVAN Licensed 1063977361 699671 English 9/13/2021 HEALTH FULL ACTION CENTRAL Outreach Needs (ACTION) –Central program (16- 25) HUERTA, Vocational Spanish SERVICE offers a dual track treatment model for Adult (18+) ELADIA Nurse PARTNERSHIP 6244 El Cajon Boulevard individuals in the central San Diego area who Older Adult (60+) GONZALEZ, Other 1295246999 English 9/13/2021 San Diego, CA, 92115 have either been diagnosed with a severe and MARIA Qualitified Spanish persistent mental illness or a chronic Provider substance use disorder. We offer medication management and monitoring, individual GONZALEZ, Licensed 1962826495 10269 English 9/13/2021 therapy, outpatient substance abuse MICAELA N Marriage and Spanish treatment, case management, employment Family support, peer counseling and support, and Therapist housing services. ACTION Central provides a KLOBERDANZ Nurse 1235672502 95005293 English 9/13/2021 safe environment in which our clients can , KELSEY L Practitioner address all of their treatment needs.` SAYLOR, Licensed 1679602700 50859 English 9/13/2021 JEFFREY Marriage and Family Therapist SILLS, Mental Health 1952863631 English 9/13/2021 DANIELLE J Rehabilitation Specialist SILVA-LEON, Mental Health 1871135848 English 9/13/2021 ANDREA L Rehabilitation Specialist TORRES, Other 1316440258 English 9/13/2021 JUAN F Qualitified Spanish Provider MENTAL HEALTH SYSTEMS INC. Assertive Community Treatment Intensive East Open Yes Transition Age Youth BENAVIDES, Mental Health 1245734904 English 9/13/2021 ACTION EAST Outreach Needs (ACTION) –East program (16- 25) VERONICA C Rehabilitation Spanish offers a dual track treatment model for Adult (18+) Specialist 10201 Mission Gorge Road individuals in the East San Diego area who Older Adult (60+) DURAN, Mental Health 1609314897 English 9/13/2021 Santee, CA, 92071 have either been diagnosed with a severe and CYNTHIA C Rehabilitation persistent mental illness and/or a chronic Specialist substance use disorder. We offer medication management and monitoring, individual FELARCA , Mental Health 1407345184 98715 English 9/13/2021 therapy, outpatient substance abuse JESSICA Rehabilitation treatment, case management, employment Specialist support, peer counseling and support, and GOMES, Mental Health 1396206082 89256 English 9/13/2021 housing services. ACTION East provides a SALLY Rehabilitation safe environment in which our clients can Specialist address all their treatment needs. GREEN, Mental Health 1609364363 English 9/13/2021 MICHELLE Rehabilitation Specialist JAKUBOWSKI Mental Health 1215561048 English 9/13/2021 , KYLE Rehabilitation Specialist JENSEN, Physician 1740465541 A67960 English 9/13/2021 DEXTER ANTHONY LEDET- Mental Health 1194288118 English 9/13/2021 TRAVIS, Rehabilitation JAMAL Specialist LYLES , Mental Health 1881280253 English 9/13/2021 VICTORIA Rehabilitation Spanish Specialist MILNER, Mental Health 1710434956 English 9/13/2021 LATREICE L Rehabilitation Specialist PELLECCHIA, Nurse 1780981266 RN685238 English 9/13/2021 KRISTYN Practitioner

SHAFER, Licensed 1063880722 114178 English 9/13/2021 KATHRYN M Marriage and Family Therapist

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DESBORDES, Other 1881206050 English 9/13/2021 JAY-R Qualitified Provider GARDNER, Other 1831633189 English 9/13/2021 CLEVELAND Qualitified E Provider GOLDEN, Mental Health 1083117097 English 9/13/2021 ALBERTO A Rehabilitation Tagalog Specialist MACIEJEWSK Mental Health 1235757212 English 9/13/2021 I, DANIEL Rehabilitation Specialist MEINZER, Licensed 1598106676 270365 English 9/13/2021 PHILLIP L Vocational Nurse NORDEEN, Licensed 1497002042 78801 English 9/13/2021 AMY M Clinical Social Worker RANDOLL, Licensed 1902125040 93805 English 9/13/2021 ERIN E Marriage and Family Therapist SOLIS, Other 1740735521 English 9/13/2021 SOPHIA V Qualitified Provider SORENSON, Nurse 1356650634 20452 English 9/13/2021 JAMIE M Practitioner

SPELLS, Associate 1982728911 96535 English 9/13/2021 PAULA S Marriage Family Therapist SPRETER, Registered 1861886202 837983 English 9/13/2021 PHILIP Nurse

STAFFORD, Licensed 1992830830 42913 English 9/13/2021 KEVIN D Marriage and Family Therapist VAZQUEZ, Other 1194333773 English 9/13/2021 PAULINA Qualitified Spanish Provider WILLIAMS, Associate 1326409640 6539 English 9/13/2021 NADIRAH Professional Clinical Counselor ZECCHINI, Associate 1134753932 94324 English 9/13/2021 NATALIA Clinical Social Spanish Worker

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GREEN, Mental Health 1609364363 English 9/13/2021 MICHELLE Rehabilitation Specialist HESPENHIDE, Licensed 1669925376 90949 English 9/13/2021 JASON A Marriage and Family Therapist HOWELL, Registered 1154898740 95154742 English 9/13/2021 HEATHER P Nurse

JENSEN, Physician 1740465541 A67960 English 9/13/2021 DEXTER ANTHONY JORDAN, Licensed 1356851778 682492 English 9/13/2021 DIANE D Vocational Nurse KIDIO, Associate 1881140770 88039 English 9/13/2021 JOCELIA J Clinical Social Worker KOESTERER, Mental Health 1720412976 English 9/13/2021 MICHAEL T Rehabilitation Specialist LEDET- Mental Health 1194288118 English 9/13/2021 TRAVIS, Rehabilitation JAMAL Specialist LEONARD, Nurse 1518458165 95009094 English 9/13/2021 SEAN Practitioner Spanish

LINTON, Mental Health 1366560682 English 9/13/2021 LAURA J Rehabilitation Specialist MATTHEWS, Other 1922507359 English 9/13/2021 LISA D Qualitified Provider MEEHAN, Registered 1306327432 95174112 English 9/13/2021 NICOLE C Nurse

MILNER, Mental Health 1710434956 English 9/13/2021 LATREICE L Rehabilitation Specialist NAJERA, Licensed 1942436639 116586 English 9/13/2021 DUVAL Marriage and Spanish Family Therapist

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FERGUSON, Licensed 1699057794 149127 English 9/13/2021 SHONDA S Vocational Nurse HERNANDEZ, Mental Health 1073114179 English 9/13/2021 KARINA Rehabilitation Specialist LURA, Other 1063929966 English 9/13/2021 CASSANDRA Qualitified Provider MCCLELLAN, Mental Health 1053950006 English 9/13/2021 JONATHAN A Rehabilitation Specialist MOIMOI, Mental Health 1518453497 English 9/13/2021 SALLY T Rehabilitation Specialist NEWMAN, Associate 1730603101 79754 English 9/13/2021 JOSS Clinical Social Spanish Worker RAMIREZ, Associate 1144876889 89103 English 9/13/2021 BLAIZE P Clinical Social Spanish Worker RAMOS, Mental Health 1124611165 English 9/13/2021 ALEJANDRA Rehabilitation Specialist SALDANA, Associate 1952442261 97705 English 9/13/2021 JULIA Marriage Spanish Family Therapist SALDANA, Licensed 1952442261 97705 English 9/13/2021 JULIA Marriage and Spanish Family Therapist SANWO, Associate 1174957690 84838 English 9/13/2021 COURTNEY M Marriage Family Therapist ST. PETER, Mental Health 1437694098 English 9/13/2021 SWEETHEAR Rehabilitation T B Specialist VELAZQUEZ, Other 1548500655 English 9/13/2021 ELOISE M Qualitified Spanish Provider MENTAL HEALTH SYSTEMS INC. Full Service Partnership (FSP) Assertive North Inland Open Yes Adult (18+) ALLEN, Associate 1346778867 109675 English 9/13/2021 NORTH INLAND ACT Community Treatment (ACT)services that LAURIE M Marriage integrate mental health and rehabilitation Family 474 W Vermont Ave, Suite 104 treatment and recovery services for adults Therapist Escondido, CA, 92025 ages 25-59 who are homeless or at risk of ALLEN, Mental Health 1689155921 English 9/13/2021 760-432-9884 homelessness who have serious mental illness TIERRA J Rehabilitation (SMI) and/or are high users of acute inpatient Specialist www.mhsinc.org care and medical services to improve their mental health and quality of life in the North ALZAGA, Licensed 1942568894 102142 English 9/13/2021 Inland Region. VERONICA Marriage and Spanish Family Therapist

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GARNETT, Registered 1245406610 576955 English 9/13/2021 JUDALON E Nurse Spanish

GREENBERG, Other 1548817364 English 9/13/2021 MELISSA J Qualitified Provider GREENBERG, Other 1548817364 English 9/13/2021 MELISSA J Qualitified Provider HERNANDEZ, Other 1356955256 English 9/13/2021 MICHAEL L Qualitified Provider KUAN, Mental Health 1629570841 English 9/13/2021 MARISELA Rehabilitation Spanish Specialist MEDLEY- Other 1134631385 English 9/13/2021 NUNN, Qualitified SHASONE L Provider MEDLEY- Other 1134631385 English 9/13/2021 NUNN, Qualitified SHASONE L Provider OLIVAS, Licensed 1013178789 117247 English 9/13/2021 MICHAEL L Marriage and Family Therapist QUINTERO, Other 1053881508 English 9/13/2021 EFRAIN E Qualitified Provider QUINTERO, Other 1053881508 English 9/13/2021 EFRAIN E Qualitified Provider RIOS, IVAN C Other 1295243673 English 9/13/2021 Qualitified Provider SANCHEZ, Mental Health 1316508849 English 9/13/2021 VANESSA M Rehabilitation Specialist SARKISYAN, Registered 1780937201 95210996 English 9/13/2021 FELIKS Nurse Russian

SHAFER, Licensed 1063880722 114178 English 9/13/2021 KATHRYN M Marriage and Family Therapist SHAFER, Licensed 1063880722 114178 English 9/13/2021 KATHRYN M Marriage and Family Therapist TRAN- Associate 1316268261 104612 English 9/13/2021 CHAMBLIN, Marriage Vietnamese MELISSA Family Therapist

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL MENTAL HEALTH SYSTEMS INC. Full Service Partnership (FSP) Assertive North Inland Open Yes Adult (18+) VELAZQUEZ, Other 1548500655 English 9/13/2021 HEALTH FULL NORTH INLAND ACT Community Treatment (ACT)services that ELOISE M Qualitified Spanish SERVICE integrate mental health and rehabilitation Provider PARTNERSHIP 474 W Vermont Ave, Suite 104 treatment and recovery services for adults WOOLLEY, Other 1235632829 English 9/13/2021 Escondido, CA, 92025 ages 25-59 who are homeless or at risk of KILOREN L Qualitified 760-432-9884 homelessness who have serious mental illness Provider (SMI) and/or are high users of acute inpatient www.mhsinc.org care and medical services to improve their WOOLLEY, Other 1235632829 English 9/13/2021 mental health and quality of life in the North KILOREN L Qualitified Inland Region. Provider PATHWAYS COMMUNITY Catalyst is an Assertive Community Treatment Countywide Open Yes Transition Age Youth AREVALO, Physician 1225189343 A49719 English 9/13/2021 SERVICES LLC PATHWAYS- (ACT) program. Catalyst provides full service (16-25) EDWARD CATALYST partnership services to Transitional Age Youth (TAY) ages 16 to 25 with a serious mental AREVALO, Physician 1225189343 A49719 English 9/13/2021 7986 Dagget Street illness, and who are homeless or at risk of EDWARD San Diego, CA, 92111 becoming homeless in San Diego County. This 858-300-0460 recovery-focused program is also co-located ARNWINE- Other 1356696298 English 9/13/2021 with a consumer-run clubhouse offering a wide WILLIAMS, Qualitified range of services designed to help each HEIRRIEZE E Provider participant lead a meaning, self-sufficient life. ARROYO, Other 1275025009 English 9/13/2021 JOMYLA K Qualitified Provider ARROYO, Other 1275025009 English 9/13/2021 JOMYLA K Qualitified Provider BALL, ERIKA Associate 1174988661 69593 English 9/13/2021 Clinical Social Spanish Worker CARDENAS, Other 1326511635 English 9/13/2021 LETICIA E Qualitified Spanish Provider CIPOLLETTI, Other 1821607912 English 9/13/2021 ASHLEY Qualitified Provider CIPOLLETTI, Other 1821607912 English 9/13/2021 ASHLEY Qualitified Provider COLLINGTON, Associate 1699275370 116881 English 9/13/2021 JUSTIN Marriage Family Therapist DOHNER, Other 1194249987 English 9/13/2021 TIMOTHY J Qualitified Provider EMORY, Associate 1043685183 88432 English 9/13/2021 CHRISTOPHE Marriage R L Family Therapist EMPENO, Nurse 1720632847 95012297 English 9/13/2021 KIMBERLY Practitioner MAY EMPENO, Nurse 1720632847 95012297 English 9/13/2021 KIMBERLY Practitioner MAY FAAOLA, Mental Health 1376685594 English 9/13/2021 LILIA Rehabilitation Specialist HASSAN, Other 1780227728 English 9/13/2021 YUSRA Qualitified Provider HERNANDEZ, Other 1205477205 English 9/13/2021 LUZ Qualitified Spanish Provider JENKINS, Associate 1770629545 78048 English 9/13/2021 TONYA M Marriage Family Therapist

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Prepared By: Optum PS SD Page: 30 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL TELECARE CORP GATEWAY TO Provide services for persons 18+ through: 1) Countywide Open Yes Adult (18+) VOJTAS, Mental Health 1063939775 English 9/13/2021 HEALTH FULL RECOVERY Assertive Community Treatment (ACT) KELLI N Rehabilitation SERVICE intensive, multidisciplinary treatment services Specialist PARTNERSHIP 3132 Jefferson Street for persons who have a very serious mental WHIPPLE, Physician 1992080691 53767 English 9/13/2021 San Diego, CA, 92110 illness and needs that cannot be adequately MICHELLE Assistant 619-683-3100 met through a lower level of care); 2) Probation-funded ACT component. www.telecarecorp.com/gateway-to- WILSON, ANN Licensed 1972013910 275954 English 9/13/2021 recovery/ MARIE Vocational Nurse TELECARE CORP TRANSITION The Transition Team provides intensive, short- Countywide Open Yes Transition Age Youth ALVAREZ, Other 1376156067 English 9/13/2021 TEAM term case management services that help (16- 25) JERICA M Qualitified members navigate the mental health system Adult (18+) Provider 3132 Jefferson Street and get them connected to community Older Adult (60+) AMUNDSON, Mental Health 1609386648 English 9/13/2021 San Diego, CA, 92110 services in a timely manner once they leave NICOLE Rehabilitation the hospital. The Transition Team is comprised Specialist of case managers who utilize Telecare’s Recovery-Centered Clinical System (RCCS) to BONAPARTE, Associate 1043419302 122503 English 9/13/2021 tailor services to members’unique needs and DEAUNDRA Marriage helps foster relationships that support goals. Family Therapist BROWN, Other 1467066282 English 9/13/2021 JOSHUA M Qualitified Provider CABRERA, Licensed 1124427463 261666 English 9/13/2021 ROMANIQUE Vocational Spanish Nurse CEDILLO, Other 1306461918 English 9/13/2021 MIRIAM Y Qualitified Provider CONROY, Other 1437764289 English 9/13/2021 BRITTNEY Qualitified Provider CROTHERS, Mental Health 1336750827 English 9/13/2021 GABRIELLA E Rehabilitation Spanish Specialist DELAVINA, Licensed 1235454976 216050 English 9/13/2021 KIM Vocational Tagalog Nurse DEMOS, Mental Health 1639784853 English 9/13/2021 MAXINE S Rehabilitation Specialist DONLON, Associate 1316441132 92544 English 9/13/2021 SHANNON M Clinical Social Worker DOWNS, Mental Health 1326575861 English 9/13/2021 CODY R Rehabilitation Specialist ENRIQUEZ, Physician 1649590175 126231 English 9/13/2021 ROBERT J

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STOFFEL, Mental Health 1669098489 English 9/13/2021 REBECCA Rehabilitation Specialist

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WILSON, ANN Licensed 1972013910 275954 English 9/13/2021 MARIE Vocational Nurse YENNY, Mental Health 1598376014 English 9/13/2021 RENEE A Rehabilitation Specialist

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ORLANDO, Associate 1275097081 91374 English 9/13/2021 FRANCESCA Clinical Social Spanish Worker REYES, Associate 1710591615 8582 English 9/13/2021 MEGAN R Professional Clinical Counselor ROSE, Licensed 1306258975 222059 English 9/13/2021 DANIELLE Vocational Nurse ROSETE Licensed 1942807581 147823 English 9/13/2021 OKAMOTO, Vocational JEANETTE Nurse SERIO, Associate 1093217382 91628 English 9/13/2021 TAYLOR Clinical Social Worker SOLER, Mental Health 1679186571 English 9/13/2021 MATTHEW F Rehabilitation Specialist STROUT, Licensed 1396183489 71693 English 9/13/2021 ELIZABETH C Clinical Social Worker

Prepared By: Optum PS SD Page: 34 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL TELECARE CORP SAN DIEGO The San Diego MHCC program is an active Countywide Open Yes Adult (18+) ALGUERA, Mental Health 1578022786 English 9/13/2021 HEALTH MENTAL HEALTH COLLABORATIVE partnership between Telecare and the County Older Adult (60+) EDUARDO M Rehabilitation Spanish JUSTICE COURT PROGRAM of San Diego, superior court, the public Specialist SERVICES defender and district attorney’s offices, and the BRADY, Nurse 1952797540 95004809 English 9/13/2021 4930 Naples Street 1st Floor probation department. Members are able to KATELYN A Practitioner San Diego, CA, 92110 begin ACT services as soon as they are 619-276-1176 released from jail and are required to commit to the program for 18 months in order to CHILES, Mental Health 1700302312 English 9/13/2021 participate. The primary focus of the program ANDREW B Rehabilitation is to ensure members are set up with the Specialist proper resources and tools they will need to GARCIA, Mental Health 1134748957 English 9/13/2021 move forward without re-offending. KELLY Rehabilitation Spanish Specialist KAHLY, Licensed 1649833120 84367 English 9/13/2021 BROOKE N Clinical Social Worker KNIGHT, Licensed 1386720381 211485 English 9/13/2021 MELODY Vocational Nurse KOJO, ALEXIS Mental Health 1205493038 English 9/13/2021 Rehabilitation Specialist LANE, Licensed 1073038469 99754 English 9/13/2021 BREAWNA M Marriage and Family Therapist ORLANDO, Associate 1275097081 91374 English 9/13/2021 FRANCESCA Clinical Social Spanish Worker ROMO, Mental Health 1821601949 English 9/13/2021 MARLENE Rehabilitation Spanish Specialist UNDERHILL, Mental Health 1437758786 English 9/13/2021 MADISON M Rehabilitation Specialist WOODS, Licensed 1124100193 33603 English 9/13/2021 MARY F Marriage and Family Therapist TELECARE CORP SAN DIEGO The San Diego MHCC program is an active Countywide Open Yes Adult (18+) CHILES, Mental Health 1700302312 English 9/13/2021 MENTAL HEALTH COLLABORATIVE partnership between Telecare and the County Older Adult (60+) ANDREW B Rehabilitation COURT PROGRAM of San Diego, superior court, the public Specialist defender and district attorney’s offices, and the KNIGHT, Licensed 1386720381 211485 English 9/13/2021 4930 Naples Street, 1st Floor probation department. Members are able to MELODY Vocational San Diego, CA, 92110 begin ACT services as soon as they are Nurse 619-276-1176 released from jail and are required to commit to the program for 18 months in order to KOJO, ALEXIS Mental Health 1205493038 English 9/13/2021 participate. The primary focus of the program Rehabilitation is to ensure members are set up with the Specialist proper resources and tools they will need to LANE, Licensed 1073038469 99754 English 9/13/2021 move forward without re-offending. BREAWNA M Marriage and Family Therapist ORLANDO, Associate 1275097081 91374 English 9/13/2021 FRANCESCA Clinical Social Spanish Worker ROMO, Mental Health 1821601949 English 9/13/2021 MARLENE Rehabilitation Spanish Specialist VISTA HILL FOUNDATION VISTA Short-term medication stabilization and mental Countywide Open Yes Children (6-18) CARDENAS- Physician 1801980891 76392 English 9/13/2021 HILL FOUNDATION - JUVENILE health services to uninsured/underinsured WALLENFELT Spanish COURT CLINIC youth with serious emotional challenges , PATRICIA P involved in Juvenile Probation DILLINGER, Licensed 1356592018 40523 English 9/13/2021 2851 Meadow Lark Dr KRISTIN C Marriage and San Diego, CA, 92123 Family 858-571-1964 Therapist

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SANCHEZ, Licensed 1225396849 92792 English 9/13/2021 MARIA E Marriage and Spanish Family Therapist STECKER, Associate 1124640834 119039 English 9/13/2021 JACLYN Marriage Family Therapist MENTAL COMMUNITY RESEARCH IMPACT delivers fully integrated services to Central Open Yes Adult (18+) BARSOOM, Mental Health 1730728387 English 9/13/2021 HEALTH FOUNDATION INTENSIVE MOBILE clients diagnosed with a serious mental illness, Older Adult (60+) ALEJANDRA Rehabilitation Spanish OUTPATIENT/ PSYCHOSOCIAL ASSERTIVE as well as individuals with co-occurring, mental Specialist REHABILITATI COMMUNITY TREATMENT health and substance disorders BEALS, Licensed 1831267970 41106 English 9/13/2021 ON MELISSA K Marriage and 1260 Morena Blvd, ste.100 Family San Diego, CA, 92110 Therapist 619-398-0355 BIANCO, Licensed 1124451836 93994 English 9/13/2021 ANGELA Clinical Social Worker BLAKESLEE, Registered 1417420159 95179913 English 9/13/2021 REBECCA F Nurse

BRANDON, Associate 1649621871 83545 English 9/13/2021 ANDREW T Clinical Social Worker BROWN, Other 1831757129 English 9/13/2021 RONDA Qualitified Provider CHAPMAN, Mental Health 1770914178 English 9/13/2021 CARL J Rehabilitation Specialist CHERNOBEL Physician 1154468684 A107075 English 9/13/2021 SKY, RONIT L Russian

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MAYNE, Mental Health 1508135716 English 9/13/2021 ADAM C Rehabilitation Specialist MCALLISTER, Registered 1255837506 382679 English 9/13/2021 NANCY C Nurse

MICKLE, Mental Health 1750932414 English 9/13/2021 GRACE C Rehabilitation Specialist MONTECINO, Mental Health 1528317625 English 9/13/2021 CHRISTINE S Rehabilitation Specialist PONCE, Licensed 1285289074 258414 English 9/13/2021 MICHELLE D Vocational Nurse PRENTICE, Associate 1841714698 90915 English 9/13/2021 COLLEEN S Clinical Social Worker REISON, Associate 1336559954 4793 English 9/13/2021 DOMINIQUE Professional Clinical Counselor ROCKLAGE, Nurse 1851868202 95015165 English 9/13/2021 MATTHEW W Practitioner

RYBAROVA, Mental Health 1538727581 English 9/13/2021 VERONIKA Rehabilitation Specialist SANGHADIA, Physician 1366550246 56113 English 9/13/2021 MUKESH

SMALL, Mental Health 1942867536 English 9/13/2021 NICOLE W Rehabilitation Specialist SPACEK, Associate 1124653480 93772 English 9/13/2021 MARINA E Clinical Social Worker

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CHERNOBEL Physician 1154468684 A107075 English 9/13/2021 SKY, RONIT L Russian

CHESNUT, Licensed 1003946682 211572 English 9/13/2021 KARI L Vocational Nurse CINTRON, Mental Health 1245843390 English 9/13/2021 CLAUDE A Rehabilitation Specialist COLLADA, Associate 1538710322 94769 English 9/13/2021 MIRIAM A Marriage Spanish Family Therapist DEL VALLE, Registered 1699329201 95197293 English 9/13/2021 HEATHER J Nurse

DONOVAN, Mental Health 1598204521 English 9/13/2021 SYMARA J Rehabilitation Specialist

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HIGGINS, Mental Health 1477017226 English 9/13/2021 JESSICA L Rehabilitation Specialist HUDSON, Licensed 1194159384 83712 English 9/13/2021 KATE Clinical Social Worker LANGFORD, Mental Health 1649839408 English 9/13/2021 BIANCA D Rehabilitation Specialist LOWE, Mental Health 1932676566 English 9/13/2021 GIAVANNAH Rehabilitation C Specialist MARIN, Licensed 1396930939 250697 English 9/13/2021 SHEILA J Vocational Spanish Nurse MARZONI, Associate 1730673831 83042 English 9/13/2021 KAYLEE M Clinical Social Worker MCWALTERS, Mental Health 1598274086 English 9/13/2021 MARY C Rehabilitation Specialist MEZA, Mental Health 1912564683 English 9/13/2021 ANDREA R Rehabilitation Specialist NEAL, CASSI Associate 1659874923 81935 English 9/13/2021 M Clinical Social Worker PAMINTUAN, Mental Health 1497289227 English 9/13/2021 AILENE J Rehabilitation Specialist PAQUETTE, Mental Health 1730719840 English 9/13/2021 JOSEPH Rehabilitation Specialist PARKER, Licensed 1528592599 120200 English 9/13/2021 KELLY A Marriage and Family Therapist PAYETTE, Registered 1235499252 782228 English 9/13/2021 BRIAN Nurse

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STEWART, Mental Health 1598395790 English 9/13/2021 LINDSEY E Rehabilitation Specialist THOMPSON, Nurse 1891129854 95012541 English 9/13/2021 AMANDA M Practitioner

TORRES, Associate 1750882809 75985 English 9/13/2021 MELISSA Clinical Social Spanish Worker VALDEZ Mental Health 1386260016 English 9/13/2021 SANDOVAL, Rehabilitation Spanish NATALIA A Specialist VAZQUEZ, Mental Health 1306476155 English 9/13/2021 JOSHUA D Rehabilitation Specialist WEISCHEDEL Other 1821620733 English 9/13/2021 , SIERRA S Qualitified Provider WILLSON, Other 1225548100 English 9/13/2021 SUNITA E Qualitified Provider WONG, JAKE Associate 1154896785 90517 English 9/13/2021 W Clinical Social Worker ZAHEER, Mental Health 1295158764 English 9/13/2021 JAWID Rehabilitation Specialist ZAMANI, Associate 1053964833 114755 English 9/13/2021 NADIA Marriage Family Therapist COMMUNITY RESEARCH Provides intensive, community-based, case Central Open Yes Adult (18+) ADAMS, Licensed 1497003578 74359 English 9/13/2021 FOUNDATION DOWN TOWN management services for 360 homeless adults Older Adult (60+) ROBYN C Clinical Social IMPACT VIHP MHSA in the Downtown region of San Diego County. Worker BABENDREIE Mental Health 1114488798 English 9/13/2021 995 Gateway Center Way, Suite 300, R, KRISTIN A Rehabilitation San Diego, CA, 92102 Specialist 619-398-2156 BAYLES, Other 1225670508 English 9/13/2021 BREONA Qualitified Provider BLACK, Associate 1003373713 8336 English 9/13/2021 ROBERT Professional Clinical Counselor BROWN, Other 1831757129 English 9/13/2021 RONDA Qualitified Provider CARLTON, Physician 1558442566 A91362 English 9/13/2021 SHARMILA

CHERNOBEL Physician 1154468684 A107075 English 9/13/2021 SKY, RONIT L Russian

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DONOVAN, Mental Health 1598204521 English 9/13/2021 SYMARA J Rehabilitation Specialist DUONG, Mental Health 1164979340 English 9/13/2021 VICTOR V Rehabilitation Vietnamese Specialist EARL, ALYX Licensed 1316351711 87315 English 9/13/2021 Clinical Social Worker ESTRADA, Mental Health 1073037966 English 9/13/2021 AMANDA E Rehabilitation Specialist GUZMAN, Other 1215308812 English 9/13/2021 JOSE Qualitified Spanish Provider HALLER, Registered 1548896129 95088178 English 9/13/2021 BROOKLYN A Nurse

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STEWART, Mental Health 1598395790 English 9/13/2021 LINDSEY E Rehabilitation Specialist THOMPSON, Nurse 1891129854 95012541 English 9/13/2021 AMANDA M Practitioner

TORRES, Associate 1750882809 75985 English 9/13/2021 MELISSA Clinical Social Spanish Worker VALDEZ Mental Health 1386260016 English 9/13/2021 SANDOVAL, Rehabilitation Spanish NATALIA A Specialist VAZQUEZ, Mental Health 1306476155 English 9/13/2021 JOSHUA D Rehabilitation Specialist WEISCHEDEL Other 1821620733 English 9/13/2021 , SIERRA S Qualitified Provider WILLSON, Other 1225548100 English 9/13/2021 SUNITA E Qualitified Provider WONG, JAKE Associate 1154896785 90517 English 9/13/2021 W Clinical Social Worker ZAHEER, Mental Health 1295158764 English 9/13/2021 JAWID Rehabilitation Specialist ZAMANI, Associate 1053964833 114755 English 9/13/2021 NADIA Marriage Family Therapist COMMUNITY RESEARCH Provides intensive, community-based, case Central Open Yes Adult (18+) ADAMS, Licensed 1497003578 74359 English 9/13/2021 FOUNDATION DOWN TOWN management services for 360 homeless adults Older Adult (60+) ROBYN C Clinical Social IMPACT in the Downtown region of San Diego County. Worker BABENDREIE Mental Health 1114488798 English 9/13/2021 995 Gateway Center Way, Suite 300, R, KRISTIN A Rehabilitation San Diego, CA, 92102 Specialist 619-398-2156

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CHERNOBEL Physician 1154468684 A107075 English 9/13/2021 SKY, RONIT L Russian

DONOVAN, Mental Health 1598204521 English 9/13/2021 SYMARA J Rehabilitation Specialist DUONG, Mental Health 1164979340 English 9/13/2021 VICTOR V Rehabilitation Vietnamese Specialist DURRELL, Mental Health 1942500699 English 9/13/2021 GABRIELLE M Rehabilitation Specialist EARL, ALYX Licensed 1316351711 87315 English 9/13/2021 Clinical Social Worker ESTRADA, Mental Health 1073037966 English 9/13/2021 AMANDA E Rehabilitation Specialist GUZMAN, Other 1215308812 English 9/13/2021 JOSE Qualitified Spanish Provider HALLER, Registered 1548896129 95088178 English 9/13/2021 BROOKLYN A Nurse

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PHAN, Associate 1003269051 83594 English 9/13/2021 CORRINE Clinical Social Vietnamese Worker PHILLIP, Mental Health 1801307350 English 9/13/2021 CRYSTAL V Rehabilitation Specialist POLLACK, Associate 1235654930 83682 English 9/13/2021 GINA A Clinical Social Worker PONDER, Associate 1386159267 85691 English 9/13/2021 ANNA E Clinical Social Worker ROSALES, Mental Health 1942858774 English 9/13/2021 EDMUND C Rehabilitation Tagalog Specialist SAMPSON, Mental Health 1609413525 English 9/13/2021 LAUREN D Rehabilitation Specialist SANGHADIA, Physician 1366550246 56113 English 9/13/2021 MUKESH

STEWART, Mental Health 1598395790 English 9/13/2021 LINDSEY E Rehabilitation Specialist THOMPSON, Nurse 1891129854 95012541 English 9/13/2021 AMANDA M Practitioner

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MCNALL, Mental Health 1245305663 English 9/13/2021 VIRGINIA A Rehabilitation Specialist MORONEY, Other 1013535939 English 9/13/2021 CAITLIN Qualitified Provider ODYEK, Associate 1801275532 85824 English 9/13/2021 GRACE A Marriage Family Therapist PITTS, Mental Health 1376946418 English 9/13/2021 KIMBERLY A Rehabilitation Specialist POMBO, Other 1013533801 English 9/13/2021 ADRIANA Qualitified Provider SHAFFER, Associate 1962905927 81637 English 9/13/2021 ALEXA Clinical Social Worker SHEAR, Licensed 1306927959 47195 English 9/13/2021 LAURIE M Marriage and Family Therapist SOMO, Registered 1356762025 775571 Arabic 9/13/2021 SAHIRA Nurse English

VALDERRAM Licensed 1053661256 99475 English 9/13/2021 A, ALFREDO Marriage and Spanish Family Therapist

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DAVENPORT, Other 1043826753 English 9/13/2021 DAYJAHNAY Qualitified S Provider DELAPENA, Mental Health 1174700132 English 9/13/2021 MINDA Rehabilitation Tagalog Specialist D'ERCOLE, Mental Health 1962066761 English 9/13/2021 CASSANDRA Rehabilitation A Specialist GARCIA, Mental Health 1295887180 English 9/13/2021 PORFIRIO Rehabilitation Spanish Specialist HARWARD, Mental Health 1518412212 English 9/13/2021 MANNIE Rehabilitation Spanish Specialist HICKEY, Other 1134742463 English 9/13/2021 VIVIENNE M Qualitified Provider HILL, Mental Health 1447769450 English 9/13/2021 RODNESHA D Rehabilitation Specialist HILTON, Mental Health 1043876477 English 9/13/2021 TIFFANY Rehabilitation Specialist HUDSON, Licensed 1194159384 83712 English 9/13/2021 KATE Clinical Social Worker JONES, Licensed 1558757849 116184 English 9/13/2021 ELYCIA J Marriage and Family Therapist JONES, RYAN Licensed 1467976431 97370 English 9/13/2021 A Clinical Social Worker KAFKA, Mental Health 1700483476 English 9/13/2021 LUCINNE A Rehabilitation Specialist

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MAYNE, Mental Health 1508135716 English 9/13/2021 ADAM C Rehabilitation Specialist MCALLISTER, Registered 1255837506 382679 English 9/13/2021 NANCY C Nurse

RYBAROVA, Mental Health 1538727581 English 9/13/2021 VERONIKA Rehabilitation Specialist SANGHADIA, Physician 1366550246 56113 English 9/13/2021 MUKESH

SMALL, Mental Health 1942867536 English 9/13/2021 NICOLE W Rehabilitation Specialist SPACEK, Associate 1124653480 93772 English 9/13/2021 MARINA E Clinical Social Worker STEAD, Mental Health 1386150159 English 9/13/2021 MICHELLE A Rehabilitation Specialist STRALEY, Mental Health 1114459419 English 9/13/2021 SHELBY B Rehabilitation Specialist TARANGO, Mental Health 1316366511 English 9/13/2021 STEPHANIE V Rehabilitation Specialist TONGISH, Associate 1861972622 6769 English 9/13/2021 LAUREN N Professional Clinical Counselor

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL COMMUNITY RESEARCH IMPACT delivers fully integrated services to Central Open Yes Adult (18+) WALKEROW, Associate 1548740152 5401 English 9/13/2021 HEALTH FOUNDATION INTENSIVE MOBILE clients diagnosed with a serious mental illness, Older Adult (60+) CHELSEA R Professional OUTPATIENT/ PSYCHOSOCIAL ASSERTIVE as well as individuals with co-occurring, mental Clinical REHABILITATI COMMUNITY TREATMENT health and substance disorders Counselor ON WEIDIG, Associate 1376165787 97952 English 9/13/2021 1260 Morena Blvd, ste.100 HILARY M Clinical Social San Diego, CA, 92110 Worker 619-398-0355 WILSON, Licensed 1588914022 6561 English 9/13/2021 ROSALIE B Professional Clinical Counselor ZITTLAU- Registered 1003422080 95228125 English 9/13/2021 JOHNSON, Nurse Spanish MICHELLE R COMMUNITY RESEARCH Senior IMPACT (Intensive Mobile South Open Yes Adult (18+) CORONATO, 1841480498 English 9/13/2021 FOUNDATION SENIOR IMPACT Psychosocial Assertive Community Treatment) Older Adult (60+) LINDSAY ADULT FSP MHSA POFA is a program of Community Research Foundation that provides intensive, GORELIK, Physician 1902910649 88993 English 9/13/2021 920 Broadway, community-based, case management services ASHER R San Diego, CA, 92101 for 200 older adults (60 and older) who are 619-977-3716 homeless or at risk of homelessness and have KIEFABER, Licensed 1922388172 78750 English 9/13/2021 serious mental health issues BRIDGET B Clinical Social www.comresearch.org Worker SICARD, Associate 1306312707 83912 English 9/13/2021 MEGAN Z Clinical Social Worker COMMUNITY RESEARCH Senior IMPACT (Intensive Mobile South Open Yes Older Adult (60+) ALVAREZ, Mental Health 1023389780 English 9/13/2021 FOUNDATION SENIOR IMPACT Psychosocial Assertive Community Treatment) STACI Rehabilitation ADULT FSP MHSA is a program of Community Research Specialist Foundation that provides intensive, ANDERSON, Mental Health 1144551441 English 9/13/2021 920 Broadway, community-based, case management services KATRINA A Rehabilitation San Diego, CA, 92101 for 200 older adults (60 and older) who are Specialist 619-977-3716 homeless or at risk of homelessness and have serious mental health issues ANOSIKE, Associate 1609315811 99511 English 9/13/2021 www.comresearch.org CHRISTINA Marriage Family Therapist BARACEROS, Registered 1003448655 95138709 English 9/13/2021 KASSANDRA Nurse M BARON, Associate 1336593417 77694 English 9/13/2021 ZACHARY Clinical Social Worker BOGNER, Associate 1841835162 94773 English 9/13/2021 REBECCA Clinical Social Worker BROWN, Other 1831757129 English 9/13/2021 RONDA Qualitified Provider COLADONAT Mental Health 1104122456 English 9/13/2021 O, DANIEL Rehabilitation Specialist CORONATO, 1841480498 English 9/13/2021 LINDSAY

DIXON, Registered 1265074470 95194057 English 9/13/2021 SUZANNE M Nurse

DURRELL, Mental Health 1942500699 English 9/13/2021 GABRIELLE M Rehabilitation Specialist FARR, Mental Health 1508378837 English 9/13/2021 DESIREE E Rehabilitation Specialist FINLEY, Licensed 1740694140 94866 English 9/13/2021 SARAH Clinical Social Worker

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GRINNELL, Associate 1710369715 79130 English 9/13/2021 BRETT Clinical Social Worker HORVATH, Associate 1932621901 90598 English 9/13/2021 ANGELA M Clinical Social Worker HUDSON, Licensed 1194159384 83712 English 9/13/2021 KATE Clinical Social Worker JORGENSEN, Mental Health 1801265079 English 9/13/2021 KATRINA Rehabilitation Tagalog Specialist KIEFABER, Licensed 1922388172 78750 English 9/13/2021 BRIDGET B Clinical Social Worker MACK, Associate 1700358959 92818 English 9/13/2021 DALICIA Clinical Social Worker MANCILLA, Mental Health 1548735996 English 9/13/2021 CLARISSA E Rehabilitation Spanish Specialist MERCADO, Associate 1295224848 7869 English 9/13/2021 SANDY K Professional Spanish Clinical Counselor MILLIGAN, Registered 1528391646 408741 English 9/13/2021 DEBRA J Nurse

NAVA, DAISY Mental Health 1356861207 English 9/13/2021 Rehabilitation Spanish Specialist PELAYO, Registered 1588858195 634475 English 9/13/2021 DESERIE A Nurse

PRESTON, Mental Health 1245861194 English 9/13/2021 JUDITH Rehabilitation Specialist RUBIN, Licensed 1194883900 32142 English 9/13/2021 DANIEL A Psychologist

SICARD, Associate 1306312707 83912 English 9/13/2021 MEGAN Z Clinical Social Worker TAN, Mental Health 1790927887 English 9/13/2021 JENNIFER Rehabilitation Tagalog Specialist VALDEZ, Mental Health 1801954201 English 9/13/2021 NEMESIO J Rehabilitation Spanish Specialist WERLICK, Mental Health 1831693738 English 9/13/2021 JUSTIN Rehabilitation Specialist WYSOCKI, Mental Health 1346891934 English 9/13/2021 STEPHANIE Rehabilitation Spanish Specialist

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JAFFE, Other 1013296524 English 9/13/2021 SABRINA Qualitified Provider JOHNSON, Nurse 1407865660 22980 English 9/13/2021 BRIAN D Practitioner

JONES, Physician 1912198409 G83514 English 9/13/2021 PAMELA J

KLOTZ, TINA Licensed 1952577181 348 English 9/13/2021 N Professional Clinical Counselor LUCCI, Other 1598061988 English 9/13/2021 CARMEN C Qualitified Provider MADEIRA, Associate 1780248609 97560 English 9/13/2021 GAVIN K Clinical Social Worker MAHL, Nurse 1326365529 NP19557 English 9/13/2021 HILLARY D Practitioner

MCELROY, Physician 1356768436 139436 English 9/13/2021 JUDE J

MONGE, Associate 1164716627 89786 English 9/13/2021 MONICA Marriage Spanish Family Therapist MOORE, Physician 1568611358 11045 English 9/13/2021 AMANDA J

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QUEZADA, Licensed 1093143257 276498 English 9/13/2021 JOANNA L Vocational Spanish Nurse REYES, Nurse 1942741699 95006299 English 9/13/2021 DANIEL J Practitioner

ROMERO, Licensed 1851735401 77056 English 9/13/2021 ANGELA N Clinical Social Worker SORIANO, Nurse 1164641650 95006790 English 9/13/2021 DEOMEL M Practitioner

TRUXTON, Registered 1780161448 95108467 English 9/13/2021 CHELSEY B Nurse

TUCKER- Nurse 1730596768 95000475 English 9/13/2021 ASHTON, Practitioner SHIRLEY A VALADEZ, Licensed 1356898803 685505 English 9/13/2021 JACQUELYN Vocational A Nurse EXODUS RECOVERY, INC. AB 109 Serves clients who are under Post Release North Open Yes Adult (18+) ANDREWS, Associate 1700401916 97948 English 9/13/2021 PROGRAM VISTA, CA Community Supervision and Mandatory Older Adult (60+) LAURIE M Clinical Social Supervision, who meet Specialty Mental Worker 550 West Vista Way, Suite 109 Health Criteria through San Diego County CARNEMOLL Registered 1124313069 737232 English 9/13/2021 Vista, CA, 92083 Behavioral Health Services. A, JOHN A Nurse 760-305-4635 CLEMENTE, Associate 1194270934 71123 English 9/13/2021 TRICIA A Clinical Social Worker DURAN- Mental Health 1558640060 English 9/13/2021 CARRASCO, Rehabilitation ANITA Specialist GARCIA, Licensed 1518361666 94664 English 9/13/2021 FRANK I Clinical Social Spanish Worker GORDON- Licensed 1811283773 252173 English 9/13/2021 GRAY, Vocational ALEXSIA Nurse HONG, ROSIE Registered 1013094887 639336 English 9/13/2021 Nurse

JAFFE, Other 1013296524 English 9/13/2021 SABRINA Qualitified Provider JONES, Physician 1912198409 G83514 English 9/13/2021 PAMELA J

KLOTZ, TINA Licensed 1952577181 348 English 9/13/2021 N Professional Clinical Counselor LUCCI, Other 1598061988 English 9/13/2021 CARMEN C Qualitified Provider

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MOORE, Physician 1568611358 11045 English 9/13/2021 AMANDA J

OPALIA, Associate 1306225495 86880 English 9/13/2021 ROBIN Clinical Social VICTOR Worker OROPEZA, Associate 1801096060 94477 English 9/13/2021 MONICA Clinical Social Spanish Worker PROFFITT, Physician 1063580587 40787 English 9/13/2021 PAULA A

QUEZADA, Licensed 1093143257 276498 English 9/13/2021 JOANNA L Vocational Spanish Nurse REYES, Nurse 1942741699 95006299 English 9/13/2021 DANIEL J Practitioner

ROMERO, Licensed 1851735401 77056 English 9/13/2021 ANGELA N Clinical Social Worker SORIANO, Nurse 1164641650 95006790 English 9/13/2021 DEOMEL M Practitioner

TRUXTON, Registered 1780161448 95108467 English 9/13/2021 CHELSEY B Nurse

TUCKER- Nurse 1730596768 95000475 English 9/13/2021 ASHTON, Practitioner SHIRLEY A VALADEZ, Licensed 1356898803 685505 English 9/13/2021 JACQUELYN Vocational A Nurse EXODUS RECOVERY, INC. MENTAL Mental Health Walk-In Assessment Center North Open Yes Adult (18+) JOHNSON, Nurse 1407865660 22980 English 9/13/2021 HEALTH WALK-IN ASSESSMENT (WIAC) serves adults and older adults, who Older Adult (60+) BRIAN D Practitioner CENTER VISTA are experiencing a mental health crisis or urgent need for mental health services. JONES, Physician 1912198409 G83514 English 9/13/2021 524 West Vista Way PAMELA J Vista, CA, 92083 KLOTZ, TINA Licensed 1952577181 348 English 9/13/2021 N Professional Clinical Counselor MAHL, Nurse 1326365529 NP19557 English 9/13/2021 HILLARY D Practitioner

PROFFITT, Physician 1063580587 40787 English 9/13/2021 PAULA A

VALADEZ, Licensed 1356898803 685505 English 9/13/2021 JACQUELYN Vocational A Nurse EXODUS RECOVERY, INC. MENTAL Mental Health Walk-In Assessment Center North Open Yes Adult (18+) GARCIA, Licensed 1518361666 94664 English 9/13/2021 HEALTH WALK-IN ASSESSMENT (WIAC) serves adults and older adults, who Older Adult (60+) FRANK I Clinical Social Spanish CENTER VISTA are experiencing a mental health crisis or Worker urgent need for mental health services. JOHNSON, Nurse 1407865660 22980 English 9/13/2021 524 West Vista Way, BRIAN D Practitioner Vista, CA, 92083

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MOORE, Physician 1568611358 11045 English 9/13/2021 AMANDA J

PROFFITT, Physician 1063580587 40787 English 9/13/2021 PAULA A

QUEZADA, Licensed 1093143257 276498 English 9/13/2021 JOANNA L Vocational Spanish Nurse REYES, Nurse 1942741699 95006299 English 9/13/2021 DANIEL J Practitioner

ROMERO, Licensed 1851735401 77056 English 9/13/2021 ANGELA N Clinical Social Worker SORIANO, Nurse 1164641650 95006790 English 9/13/2021 DEOMEL M Practitioner Tagalog

TUCKER- Nurse 1730596768 95000475 English 9/13/2021 ASHTON, Practitioner SHIRLEY A VALADEZ, Licensed 1356898803 685505 English 9/13/2021 JACQUELYN Vocational A Nurse

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MARTINEZ, Other 1376056101 English 9/13/2021 JISSETTE Qualitified Spanish Provider MEYERS, Associate 1285281543 90833 English 9/13/2021 DANIELLE A Clinical Social Worker OCHOA, Other 1134771249 English 9/13/2021 PAOLA Qualitified Spanish Provider PORRAS, Associate 1225437973 86235 English 9/13/2021 SARAH Clinical Social Spanish Worker SANTANA, Other 1215462890 English 9/13/2021 ISABEL C Qualitified Spanish Provider TONG , Licensed 1831361278 A102192 English 9/13/2021 GARRICK Psychiatrist Mandarin Spanish

TRIANA, Registered 1073844460 88589 English 9/13/2021 JENNIFER Nurse Spanish

FRED FINCH YOUTH CENTER A 14-bed residential treatment facility located Countywide Open Yes Children (6-18) FUQUA, Associate 1831730480 7790 English 9/13/2021 FRED FINCH SAN DIEGO DUAL in Lemon Grove with a non-public school SARAH Professional DIAGNOSIS which includes integrated mental health Clinical treatment services. The program provides a Counselor 8001 Palm Street safe, stable, and highly structured environment LARSON, Physician 1326305988 A130546 English 9/13/2021 Lemon Grove, CA, 91945 by combining intensive staffing, a milieu JENNIFER L 619-797-1090 culture, mental health interventions, and behavior modification. OLAZABAL, Mental Health 1548867286 English 9/13/2021 NATALIA L Rehabilitation Spanish Specialist ROBERTSON, Associate 1518459197 96512 English 9/13/2021 KRISTI L Marriage Family Therapist MENTAL HEALTH SYSTEMS INC. MHS Alianza Wellness Center provides Countywide Open Yes Transition Age Youth DEGROFF, Associate 1932635604 5531 English 9/13/2021 ALIANZA WELLNESS CENTER Bilingual and culturally diverse outpatient (16- 25) MAEGEN Professional rehabilitative and recovery services, case Adult (18+) Clinical 5555 Reservoir Dr, Suite 204A management, and employment readiness to Older Adult (60+) Counselor San Diego, CA, 92120 adults within the Latino community who GREEN, Other 1598370314 English 9/13/2021 experience serious mental illness and who BRITTNEY Qualitified may also experience co-occurring substance Provider abuse disorders in their preferred language. We specialize in serving community members HUDSON, Licensed 1417248303 100581 English 9/13/2021 who are monolingual or have limited English MACKENZIE Clinical Social Spanish proficiency within the Latino community. Worker MANCILLA, Other 1376140590 English 9/13/2021 LEON Qualitified Spanish Provider ORTUNNO, Psychiatric 1417018771 24807 English 9/13/2021 WILMER Technicians Spanish

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KERI, JASON Physician 1811915812 82017 English 9/13/2021 S

RAINVILLE, Associate 1295235380 98793 English 9/13/2021 ANNA M Marriage Family Therapist TILLOTSON, Mental Health 1346368131 English 9/13/2021 LINDA Rehabilitation Tagalog Specialist

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KERI, JASON Physician 1811915812 82017 English 9/13/2021 S

ALVARADO, Nurse 1124403993 95002726 English 9/13/2021 LIZA P Practitioner

ASOMBRADO, Nurse 1992778666 9073 English 9/13/2021 DORIS L Practitioner Spanish

BROWN, Licensed 1023464864 113303 English 9/13/2021 MATTHEW J Marriage and Spanish Family Therapist DAVID, ERIC Associate 1053822577 103772 English 9/13/2021 Marriage Family Therapist HIGGS, Licensed 1992880942 215678 English 9/13/2021 WAYNE E Vocational Nurse HIGGS, Licensed 1992880942 215678 English 9/13/2021 WAYNE E Vocational Nurse OSBORN, Licensed 1184001950 117433 English 9/13/2021 JENNIFER R Marriage and Family Therapist

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ASOMBRADO, Nurse 1992778666 9073 English 9/13/2021 DORIS L Practitioner Spanish

BROWN, Licensed 1023464864 113303 English 9/13/2021 MATTHEW J Marriage and Spanish Family Therapist DAVID, ERIC Associate 1053822577 103772 English 9/13/2021 Marriage Family Therapist DAVID, ERIC Associate 1053822577 103772 English 9/13/2021 Marriage Family Therapist HIGGS, Licensed 1992880942 215678 English 9/13/2021 WAYNE E Vocational Nurse OSBORN, Licensed 1184001950 117433 English 9/13/2021 JENNIFER R Marriage and Family Therapist PLACEK, Physician 1124127675 A42838 English 9/13/2021 KAREL

ROBBINS, Licensed 1790871887 34626 English 9/13/2021 KATHY A Marriage and Spanish Family Therapist

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KANBARAGH Associate 1578156790 Arabic 9/13/2021 A, DEEMA Marriage English Family Therapist MARQUEZ, Associate 1265833065 108233 English 9/13/2021 KARINA Marriage Spanish Family Therapist SMITH, Mental Health 1942386636 English 9/13/2021 MARSHALL Rehabilitation Specialist TADEO, Associate 1043693211 109417 English 9/13/2021 TANIA B Marriage Spanish Family Therapist NEW ALTERNATIVES / CABRILLO Through MHSA funding provide voluntary Countywide Open Yes Young Children (0- BROWN, Associate 1437714813 113297 English 9/13/2021 ASSESSMENT CENTER TSP Intensive Respite Care services to clients who 5) DANIELLE I Marriage are experiencing behavioral/emotional Children (6-18) Family 730 Medical Center Court escalation. The duration of these intensive Therapist Chula Vista, CA, 91911 services typically between 72 hrs - 14 days. CRUZ, Associate 1265951123 5506 English 9/13/2021 619-615-0701 CYNTHIA Professional Spanish Clinical www.sandiego.networkofcare.org Counselor GARCIA, Licensed 1710410980 123590 English 9/13/2021 ROSEMARIE Marriage and C Family Therapist PEREZ, Physician 1922428622 148494 English 9/13/2021 NICHOLAS J

POMA, Licensed 1043441033 85118 English 9/13/2021 HELENA B Clinical Social Worker

Prepared By: Optum PS SD Page: 58 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL NEW ALTERNATIVES / CABRILLO Through MHSA funding provide voluntary Countywide Open Yes Young Children (0- SABOL, Associate 1528624814 4249 English 9/13/2021 HEALTH ASSESSMENT CENTER TSP Intensive Respite Care services to clients who 5) SAMANTHA W Professional OUTPATIENT/ are experiencing behavioral/emotional Children (6-18) Clinical REHABILITATI 730 Medical Center Court escalation. The duration of these intensive Counselor ON Chula Vista, CA, 91911 services typically between 72 hrs - 14 days. SHEPHERD, Associate 1710449186 120295 English 9/13/2021 619-615-0701 SAMANTHA Marriage Spanish Family www.sandiego.networkofcare.org Therapist TANORI, Associate 1447742846 116932 English 9/13/2021 MICHAEL Marriage Family Therapist VELAZQUEZ, Mental Health 1194292029 English 9/13/2021 WENDY Rehabilitation Spanish Specialist NEW ALTERNATIVES / CABRILLO Green Oakes provides assessment to all North Central Open Yes Young Children (0- CEDILLO, Other 1588219349 English 9/13/2021 ASSESSMENT CENTER children up to 18 yrs of age who are full- scope 5) JAZMIN Qualitified Spanish Medi-Cal and taken into protective custody or Children (6-18) Provider 1237 Green Oak Road changing placements within North Inland and FORTIN, Licensed 1457492696 30548 English 9/13/2021 Vista, CA, 92083 North Coastal areas within North County. LARRY Marriage and 619-615-0701 Family Therapist www.sandiego.networkofcare.org/ KAYLOR, Other 1598233165 English 9/13/2021 MCKENNA L Qualitified Provider MONROY, Other 1992268916 English 9/13/2021 ADRIANA Qualitified Spanish Provider PAUSZEK, Associate 1548635303 89927 English 9/13/2021 KAY Marriage Family Therapist TUBBS, Licensed 1598064412 43731 English 9/13/2021 CHARIS L Marriage and Family Therapist NEW ALTERNATIVES CENTER FOR The Center for Child & Youth Psychiatry Countywide Open Yes Young Children (0- ALDOUS, Physician 1831245414 85081 English 9/13/2021 CHILD AND YOUTH PSYCHIATRY (CCYP) utilizes telepsychiatry/telehealth and 5) JOHN Spanish face-to-face practices at multiple locations Children (6-18) 8755 Aero Drive Ste 306 & 320 throughout San Diego County to provide BELL, TINA Licensed 1710375225 103370 English 9/13/2021 San Diego, CA, 92123 outpatient psychiatric evaluation and Marriage and 619-822-9602 medication support services. Family Therapist BRAUNSTEIN, Licensed 1245854983 118964 English 9/13/2021 REBECCA Marriage and Family Therapist BUCCIGROSS Physician 1124138672 31185 English 9/13/2021 , RICHARD L

CHANG, Physician 1093918807 A119710 English 9/13/2021 YUFANG J Spanish

COMPAGNON Physician 1447561287 122294 English 9/13/2021 E, MARIANA Spanish

DODGE, Mental Health 1679104038 English 9/13/2021 STEPHANIE Rehabilitation Specialist FERNANDEZ, Associate 1578903860 79905 English 9/13/2021 FRANCISCO Marriage D Family Therapist JENSEN, Physician 1265579585 60979 English 9/13/2021 THOMAS

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NICHOLS, Licensed 1982810578 20266 English 9/13/2021 LINDA M Marriage and Family Therapist POMA, Licensed 1043441033 85118 English 9/13/2021 HELENA B Clinical Social Worker ROBLES- Licensed 1477968857 110895 English 9/13/2021 GUERRERO, Marriage and Spanish CLARA Family Therapist TAING, Associate 1083043541 121589 English 9/13/2021 KATHLEEN M Marriage Family Therapist TORRES, Licensed 1639405350 83754 English 9/13/2021 CONSUELO Clinical Social Spanish Worker TUCKER, Licensed 1447555123 100510 English 9/13/2021 TIFFANY Marriage and Family Therapist WENTZ, JOAN Registered 1497189278 828602 English 9/13/2021 B Nurse

WHITCHER, Licensed 1689821753 7722 English 9/13/2021 JUDITH Professional Clinical Counselor

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www.sandiego.networkofcare.org DOUGHERTY, Associate 1932755741 95640 English 9/13/2021 MEGAN M Clinical Social Worker JENNINGS, Licensed 1730227935 46720 English 9/13/2021 DAWN G Marriage and Family Therapist JONES, Other 1770146383 English 9/13/2021 STACEY Qualitified Provider LOERA, Associate 1679106868 113007 English 9/13/2021 KAREN L Marriage Spanish Family Therapist MARSHALL, Associate 1740769397 98589 English 9/13/2021 DANIEL Clinical Social Worker MUNOZ, Associate 1356955355 120179 English 9/13/2021 DIANA Marriage Family Therapist WILLIAMSON, Associate 1538645635 83937 English 9/13/2021 DANIELLE E Clinical Social Worker NEW ALTERNATIVES/ CABRILLO Through MHSA funding provide voluntary Countywide Open Yes Young Children (0- BROWN, Associate 1437714813 113297 English 9/13/2021 ASSESSMENT CENTER CENTRAL Intensive Respite Care services to clients who 5) DANIELLE I Marriage are experiencing behavioral/emotional Children (6-18) Family 730 Medical Center Court escalation. The duration of these intensive Therapist Chula Vista, CA, 91911 services typically between 72 hrs - 14 days. CASTRO, Associate 1225683485 5565 English 9/13/2021 619-615-0701 IANNE N Professional Spanish Clinical www.sandiego.networkofcare.org Counselor CRUZ, Associate 1265951123 5506 English 9/13/2021 CYNTHIA Professional Spanish Clinical Counselor GARCIA, Mental Health 1710486493 English 9/13/2021 OSCAR Rehabilitation Spanish Specialist GARCIA, Licensed 1710410980 123590 English 9/13/2021 ROSEMARIE Marriage and C Family Therapist LOPEZ, Associate 1801374921 84020 English 9/13/2021 BROOKE M Clinical Social Worker PEREZ, Physician 1922428622 148494 English 9/13/2021 NICHOLAS J

POMA, Licensed 1043441033 85118 English 9/13/2021 HELENA B Clinical Social Worker SABOL, Associate 1528624814 4249 English 9/13/2021 SAMANTHA W Professional Clinical Counselor SANDERS, Associate 1154952398 92616 English 9/13/2021 SIERRA Clinical Social Worker

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PEREZ, Physician 1922428622 148494 English 9/13/2021 NICHOLAS J

ROSALES, Licensed 1881067262 110001 English 9/13/2021 GENE Marriage and Tagalog Family Therapist PALOMAR FAMILY COUNSELING The Incredible Years component provides North Open Yes Adult (18+) BARAJAS, Associate 1043763733 102293 English 9/13/2021 SERVICES INC. CHILDNET - culturally appropriate evidence-based MARIANA L Marriage INCREDIBLE YEARS prevention and early intervention services to Family elementary school aged children preschool to Therapist 1002 E. Grand Ave third grade. These services include screening CARREON- Associate 1245707637 95113 English 9/13/2021 Escondido, CA, 92025 and early identification of at risk children, ROMERO, Clinical Social Spanish 760-741-2660 classroom delivery of a social-emotional health VIRIDIANA Worker curriculum, small group interventions, and www.palomarfamilycounseling.com Incredible Years Parent Trainings. CUEVAS, Associate 1538774369 8392 English 9/13/2021 DAMARA I Professional Spanish Clinical Counselor PADILLA, Other 1760027742 English 9/13/2021 BRIANA A Qualitified Spanish Provider PATEL, ANIL Physician 1164462164 A46378 English 9/13/2021 S

PENA, Associate 1174175814 89532 English 9/13/2021 MELISA Clinical Social Worker SAHAGUN, Associate 1457875429 108413 English 9/13/2021 VICTORIA E Marriage Family Therapist VARELA- Licensed 1407011042 53211 English 9/13/2021 RUSSO, Marriage and Spanish MARIA R Family Therapist

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DONAYRE, Associate 1194362426 99079 English 9/13/2021 LEONOR Clinical Social Spanish Worker KNIGHT, Associate 1871192955 114015 English 9/13/2021 ALICIA Y Marriage Family Therapist KUTNICK, Associate 1669011276 92260 English 9/13/2021 FRED Clinical Social Worker LIDSTONE, Physician 1942662093 161149 English 9/13/2021 PAVEN K

MORETT, Associate 1285135418 114005 English 9/13/2021 BARBARA Marriage Spanish Family Therapist MORRISON, Physician 1912391814 144917 English 9/13/2021 TYLER E

ORDORICA, Associate 1144731274 90665 English 9/13/2021 MARILYN L Clinical Social Worker SIDHU, Physician 1033344429 A113606 English 9/13/2021 SHAWN S

RADY CHILDREN'S HOSPITAL OF KidSTART is a program for children under 6 North Open Yes Young Children (0-5) BIAL, Licensed 1114025269 22026 English 9/13/2021 SAN DIEGO KIDSTART CENTER years old with complex needs in multiple areas VIRGINIA Clinical Social EPSDT CLINIC of daily life. After an evaluation, each child and Worker family referred to KidSTART will be BRAR, Physician 1417393307 144765 English 9/13/2021 3142 Vista Way recommended for services that fit their unique SIMERJEET K Oceanside, CA, 92056 needs. The recommended services can be 858-576-1700 provided by KidSTART or another program in the community. These services may be CADENAS, Other 1982161600 English 9/13/2021 delivered in individual, family or group settings. MARIA R Qualitified Spanish Provider CURTIS- Licensed 1649616376 98485 English 9/13/2021 HUGHES, Marriage and KELLY V Family Therapist EBERLY, Licensed 1134502834 82625 English 9/13/2021 KRISTEN L Clinical Social Worker KNIGHT, Licensed 1003110396 87278 English 9/13/2021 MARGARET Marriage and Spanish Family Therapist MCNALLY, Other 1740759091 English 9/13/2021 CLAIRE E Qualitified Provider NEFF, LESLIE Other 1336359181 English 9/13/2021 I Qualitified Spanish Provider RAZOOKY, Other 1508475823 English 9/13/2021 RANYA M Qualitified Provider

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL RADY CHILDREN'S HOSPITAL OF KidSTART is a program for children under 6 North Open Yes Young Children (0-5) RUIZ, BIANCA Other 1629522917 English 9/13/2021 HEALTH SAN DIEGO KIDSTART CENTER years old with complex needs in multiple areas R Qualitified Spanish OUTPATIENT/ EPSDT CLINIC of daily life. After an evaluation, each child and Provider REHABILITATI family referred to KidSTART will be SALAZAR, Associate 1801293261 77683 English 9/13/2021 ON 3142 Vista Way recommended for services that fit their unique LILIANA Clinical Social Spanish Oceanside, CA, 92056 needs. The recommended services can be Worker 858-576-1700 provided by KidSTART or another program in the community. These services may be SYLVESTER, Licensed 1861834590 80826 English 9/13/2021 delivered in individual, family or group settings. KRISTEN Clinical Social Spanish Worker TORPEY, Other 1356959290 English 9/13/2021 SAMANTHA N Qualitified Provider ZIOGAS, Other 1518405216 English 9/13/2021 KATHRYN A Qualitified Provider RADY CHILDREN'S HOSPITAL OF KidSTART is a program for children under 6 South Open Yes Young Children (0-5) BIAL, Licensed 1114025269 22026 English 9/13/2021 SAN DIEGO KIDSTART CENTER years old with complex needs in multiple areas VIRGINIA Clinical Social EPSDT CLINIC of daily life. After an evaluation, each child and Worker family referred to KidSTART will be BRAR, Physician 1417393307 144765 English 9/13/2021 333 H Street Suite 3010 recommended for services that fit their unique SIMERJEET K San Diego, CA, 91910 needs. The recommended services can be 619-420-5611 provided by KidSTART or another program in the community. These services may be CADENAS, Other 1982161600 English 9/13/2021 delivered in individual, family or group settings. MARIA R Qualitified Spanish Provider CURTIS- Licensed 1649616376 98485 English 9/13/2021 HUGHES, Marriage and KELLY V Family Therapist EBERLY, Licensed 1134502834 82625 English 9/13/2021 KRISTEN L Clinical Social Worker KNIGHT, Licensed 1003110396 87278 English 9/13/2021 MARGARET Marriage and Spanish Family Therapist MCNALLY, Other 1740759091 English 9/13/2021 CLAIRE E Qualitified Provider NEFF, LESLIE Other 1336359181 English 9/13/2021 I Qualitified Spanish Provider RAZOOKY, Other 1508475823 English 9/13/2021 RANYA M Qualitified Provider RUIZ, BIANCA Other 1629522917 English 9/13/2021 R Qualitified Spanish Provider SALAZAR, Associate 1801293261 77683 English 9/13/2021 LILIANA Clinical Social Spanish Worker SYLVESTER, Licensed 1861834590 80826 English 9/13/2021 KRISTEN Clinical Social Spanish Worker TORPEY, Other 1356959290 English 9/13/2021 SAMANTHA N Qualitified Provider ZIOGAS, Other 1518405216 English 9/13/2021 KATHRYN A Qualitified Provider

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MASTRONAR Associate 1700430766 116598 English 9/13/2021 DI, Marriage ANTOINETTE Family V Therapist MATHIS, 1104347160 English 9/13/2021 KIMBERLY D

OLVERA, Mental Health 1750845335 English 9/13/2021 LETICIA M Rehabilitation Specialist PATEL, ANIL Physician 1164462164 A46378 English 9/13/2021 S

POWERS, Licensed 1558572875 52722 English 9/13/2021 CASSIE A Marriage and Family Therapist

Prepared By: Optum PS SD Page: 65 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL SAN DIEGO CENTER FOR We provide intensive short-term residential Countywide Open Yes Children (6-18) SALINAS, Licensed 1609074830 82438 English 9/13/2021 HEALTH CHILDREN SDCC AFTERCARE treatment to children and teens, ages 6 to 18, ERVEY Marriage and Spanish OUTPATIENT/ who are struggling with mental, emotional and Family REHABILITATI 3002 Armstrong Street behavioral disorders. We are proud to be one Therapist ON San Diego, CA, 92111 of the only residential treatment programs in TATA, SATYA Physician 1518086404 A98273 English 9/13/2021 858-277-9550 Southern California accredited by The Joint V Commission for our excellence in safety and quality of care. URENA Other 1477169613 English 9/13/2021 ROSARIO, Qualitified ANA Provider VERMAZEN, Other 1316554926 English 9/13/2021 MADISON Qualitified Provider WECHSLER, Associate 1780015370 92186 English 9/13/2021 AMY C Clinical Social Worker WILLIAMS, Licensed 1922410273 99179 English 9/13/2021 YASMIN Marriage and Family Therapist WOMACK, Mental Health 1639658933 English 9/13/2021 ELIZABETH M Rehabilitation Specialist SAN DIEGO YOUTH SERVICES Our BridgeWays program addresses the Countywide Open Yes Transition Age Youth BLAYLOCK , Associate 1902462641 114634 English 9/13/2021 BRIDGEWAYS OUTPATIENT CLINIC behavioral health needs of justice involved (16- 25) KELLY Marriage youth or youth at risk of justice involvement. Family 7364 El Cajon Boulevard The new program provides outpatient clinical Therapist San Diego, CA, 92115 services, institutional services and field BRAMPTON, Physician 1487964755 119619 English 9/13/2021 support services for youth up to age 21. RICKI-LEIGH L FRANCO, Associate 1174137749 96390 English 9/13/2021 ARIANA Clinical Social Worker GOODRICH, Other 1851905921 English 9/13/2021 ASIA D Qualitified Provider MCCORMICK, Other 1184277097 English 9/13/2021 MICHAEL Qualitified Provider NARANJO, Associate 1811472293 5756 English 9/13/2021 JANICE Professional Spanish Clinical Counselor TELECARE CORP GATEWAY TO The Gateway to Recovery (GTR) program Countywide Open Yes Transition Age Youth ALVAREZ, Other 1376156067 English 9/13/2021 RECOVERY uses the Assertive Community Treatment (16- 25) JERICA M Qualitified (ACT) model to empower recovery from within. Adult (18+) Provider 3132 Jefferson Street GTR’s ACT Teams meet members where they Older Adult (60+) AMUNDSON, Mental Health 1609386648 English 9/13/2021 San Diego, CA, 92110 are, in the community, and provide intensive, NICOLE Rehabilitation person-centered, and recovery-based Specialist services. GTR contains two housing sub- component programs, Project 25 ACT and BONAPARTE, Associate 1043419302 122503 English 9/13/2021 Chula Vista 7, that offer limited housing DEAUNDRA Marriage subsidies to members who are identified as Family high-utilizers of mental health services and are Therapist at risk of homelessness. BOOTH, TARA Licensed 1346315447 19590 English 9/13/2021 C Psychologist

BROWN, Other 1467066282 English 9/13/2021 JOSHUA M Qualitified Provider CABRERA, Licensed 1124427463 261666 English 9/13/2021 ROMANIQUE Vocational Spanish Nurse CEDILLO, Other 1306461918 English 9/13/2021 MIRIAM Y Qualitified Provider

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FUENTES, Mental Health 1760043038 English 9/13/2021 RICHARD Rehabilitation Spanish Specialist GENER, JAY Licensed 1437537222 271425 English 9/13/2021 Vocational Tagalog Nurse GEORGE, Licensed 1912293747 66592 English 9/13/2021 ALEXIS K Clinical Social Worker GOMES, Mental Health 1730672890 English 9/13/2021 JOAQUIM A Rehabilitation Spanish Specialist GRAY, Associate 1205182185 77128 English 9/13/2021 LAURYN A Clinical Social Worker GREEN, Associate 1497300255 6438 English 9/13/2021 DEVIN D Professional Clinical Counselor HERNDON, Other 1316575822 English 9/13/2021 SERINA Qualitified Provider HILL, MYISHA Mental Health 1184761371 English 9/13/2021 A Rehabilitation Spanish Specialist HOYUM, Other 1366055055 English 9/13/2021 MARGARET Qualitified Provider JAMI, Licensed 1689963548 104002 English 9/13/2021 FEROOZAN Marriage and Family Therapist KEENEY, Licensed 1265779318 74297 English 9/13/2021 RAEELLEN K Clinical Social Worker KITCHIN- Mental Health 1457965105 English 9/13/2021 RAMSAY, Rehabilitation COURTNEY Specialist LIAN, MEGAN Other 1952861387 English 9/13/2021 Qualitified Provider LLANAS, Associate 1366802902 75872 English 9/13/2021 DESIREE Clinical Social Worker

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WILSON, ANN Licensed 1972013910 275954 English 9/13/2021 MARIE Vocational Nurse VISTA HILL FOUNDATION VISTA Parent peer model to reach out to the families Central Open Yes Adult CARTER, Mental Health 1093960494 English 9/13/2021 HILL FOUNDATION - CONNECT of children identified as being at-risk. Parents MALCOLM Rehabilitation ADULT may receive education, training and support, Specialist resource referrals and participation in the COATES, Associate 1144756230 108143 English 9/13/2021 8825 Aero Drive Ste 315 student’s education. NATALIE Marriage Spanish San Diego, CA, 92123 Family 858-444-5503 Therapist

Prepared By: Optum PS SD Page: 68 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL VISTA HILL FOUNDATION VISTA Parent peer model to reach out to the families Central Open Yes Adult DELGADILLO, Associate 1386011047 111244 English 9/13/2021 HEALTH HILL FOUNDATION - CONNECT of children identified as being at-risk. Parents KAREN Marriage Spanish OUTPATIENT/ ADULT may receive education, training and support, Family REHABILITATI resource referrals and participation in the Therapist ON 8825 Aero Drive Ste 315 student’s education. LEWIS, KYLE Licensed 1134664188 121395 English 9/13/2021 San Diego, CA, 92123 A Marriage and 858-444-5503 Family Therapist MARTINEZ, Mental Health 1043846272 English 9/13/2021 DANIEL Rehabilitation Specialist MOHAMMAD, Mental Health 1982231262 Arabic 9/13/2021 DALIA Rehabilitation English Specialist SKVARNA, Licensed 1811034937 34858 English 9/13/2021 DEBORAH Marriage and Family Therapist WELCH, Licensed 1689117400 113763 English 9/13/2021 MEGAN K Marriage and Family Therapist VISTA HILL FOUNDATION VISTA An evidence based approach to screening, Central Open Yes Young Children (0-5) CARTER, Mental Health 1093960494 English 9/13/2021 HILL FOUNDATION - CONNECT service recommendations and participation in MALCOLM Rehabilitation CHILD the Incredible Years social-emotional Specialist prevention curriculum. COATES, Associate 1144756230 108143 English 9/13/2021 8825 Aero Drive Ste 315 NATALIE Marriage Spanish San Diego, CA, 92123 Family 858-444-5503 Therapist DELGADILLO, Associate 1386011047 111244 English 9/13/2021 KAREN Marriage Spanish Family Therapist LEWIS, KYLE Licensed 1134664188 121395 English 9/13/2021 A Marriage and Family Therapist MARTINEZ, Mental Health 1043846272 English 9/13/2021 DANIEL Rehabilitation Spanish Specialist MOHAMMAD, Mental Health 1982231262 Arabic 9/13/2021 DALIA Rehabilitation English Specialist WELCH, Licensed 1689117400 113763 English 9/13/2021 MEGAN K Marriage and Family Therapist VISTA HILL FOUNDATION VISTA Consultants, educators and psychiatrists EAST Open Yes Children (6-18) MADRID, Licensed 1063876308 111848 English 9/13/2021 HILL FOUNDATION - RURAL partner with selected rural community health MARIA Marriage and Spanish INTEGRATED BEHAVIORAL clinics to provide behavioral health screening, Family HEALTH ALPINE evaluation, medication consultation and short- Therapist term therapy integrated within the primary 1620 Alpine Blvd health care setting. Alpine, CA, 91901 760-788-9725 VISTA HILL FOUNDATION VISTA Consultants, educators and psychiatrists EAST Open Yes Children (6-18) CARDENAS- Licensed 1801980891 76392 English 9/13/2021 HILL FOUNDATION - RURAL partner with selected rural community health WALLENFELT Psychiatrist Spanish INTEGRATED BEHAVIORAL clinics to provide behavioral health screening, , PATRICIA P HEALTH CAMPO evaluation, medication consultation and short- term therapy integrated within the primary 31115 HIGHWAY 94 health care setting. CAMPO, CA, 91906 619-478-5311

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SNEMIS, ERIN Associate 1306335054 5019 English 9/13/2021 K Professional Clinical Counselor WYNGLASS, Associate 1811346281 AMFT10415 English 9/13/2021 RANDY L Marriage 7 Family Therapist UNION OF PAN ASIAN UPAC’s New Leaf Recovery Center provides South Open Yes Transition Age Youth BOLT, RYAN Nurse 1639679822 950085484 English 9/13/2021 COMMUNITIES UPAC - NEW LEAF culturally sensitive services to adults facing (16- 25) M Practitioner RECOVERY CENTER SOUTH challenges related to co-occurring mental Adult (18+) health and substance use disorders. Older Adult (60+) BONILLA, Other 1265099295 English 9/13/2021 855 3rd Avenue Suite 2230 MICHAEL L Qualitified Chula Vista, CA, 91911 Provider 619-271-7992 COLE, Other 1063917912 English 9/13/2021 TAYLOR A Qualitified Provider GONZALEZ, Associate 1659862670 8667 English 9/13/2021 CARLOS F Professional Clinical Counselor KNICKERBOC Licensed 1730690728 108057 English 9/13/2021 KER, SANDRA Marriage and L Family Therapist LAZARO, Licensed 1750783726 95186 English 9/13/2021 DEANNA Clinical Social Worker

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WAN, EMMA Other 1366055477 English 9/13/2021 Qualitified Provider WYNGLASS, Associate 1811346281 AMFT10415 English 9/13/2021 RANDY L Marriage 7 Family Therapist

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MUECKE, Associate 1548728702 5826 English 9/13/2021 LAUREN E Professional Clinical Counselor SOLOMONA, Associate 1407324486 109858 English 9/13/2021 SIRAROTOGA Marriage O Family Therapist VIEIRA, Licensed 1629595426 8139 English 9/13/2021 KALLY F Professional Clinical Counselor VISTA HILL FOUNDATION VISTA Integrated behavioral health and primary care East,North Open Yes All Ages BLOCK, Licensed 1437280328 53170 English 9/13/2021 HILL RURAL- SMART CARE Prevention and Early Intervention and Inland KATHRYN Marriage and Community Services and Support services for Family 1012 Main Street, Suite 101 children and adults.Provide quality care by Therapist Ramona, CA, 92065 working hand-in-hand with local rural clinics to BROWN, Associate 1427644434 9068 English 9/13/2021 760-788-9725 provide behavioral health screening, ABIGAIL Professional evaluation, education and short-term Clinical www.vistahillsmartcare.org counseling. The services are for patients of all Counselor ages. COMPAGNON Physician 1447561287 122294 English 9/13/2021 E, MARIANA Spanish

HERRERA, Mental Health 1942891551 English 9/13/2021 MARIA Rehabilitation Spanish Specialist KRADOLFER Associate 1467915629 115623 English 9/13/2021 SCANLAN, Marriage SELENA Family Therapist LARSON, Physician 1821227554 114315 English 9/13/2021 JANNA

LOPEZ, Associate 1437675485 4097 English 9/13/2021 KASSANDRA Professional Clinical Counselor PEDERSEN, Licensed 1265970156 93176 English 9/13/2021 AMANDA Marriage and Family Therapist PETERSON, Associate 1083230437 83534 English 9/13/2021 SHARON Clinical Social Worker SMITH, Associate 1447700257 86821 English 9/13/2021 REBEKAH Clinical Social Worker VDOVIAK- Licensed 1346756723 124639 English 9/13/2021 MARKOW, Marriage and EMMA Family Therapist

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MENTAL UNION OF PAN ASIAN Program consists of three components: 1) Central Open Yes Transition Age Youth ANDRADE, Mental Health 1750923454 English 9/13/2021 HEALTH COMMUNITIES ALLIANCE FOR provides prevention and early intervention (16-25) KARLA E Rehabilitation Spanish PREVENTION COMMUNITY EMPOWERMENT services to children at risk due to gang Specialist MENTAL (ACE) violence and to their families, 2) provides BITUIN, Associate 1245767110 109479 English 9/13/2021 HEALTH community response team services, and 3) JANEL Marriage EARLY 1031 25th Street provides mental health counseling services. Family INTERVENTIO San Diego, CA, 92123 Therapist N 619-265-2727 www.upacsd.com DU, YEN K Licensed 1639425655 102276 Cantonese 9/13/2021 Marriage and English Family Vietnamese Therapist ELBANNA, Other 1962023770 English 9/13/2021 YASMEEN J Qualitified Provider FANI, Associate 1922606144 121075 English 9/13/2021 YASAMIN Marriage Farsi Family Spanish Therapist GRANADOS, Mental Health 1255882668 English 9/13/2021 ERIKA G Rehabilitation Spanish Specialist HANNA, Nurse 1215473145 95009867 English 9/13/2021 MICHELLE S Practitioner

HERNANDEZ, Other 1689284226 English 9/13/2021 ROCIO M Qualitified Spanish Provider JUSTICE, Licensed 1265565840 33557 English 9/13/2021 LINDA Marriage and Family Therapist LARSON, Physician 1821227554 114315 English 9/13/2021 JANNA A

LASKY, Licensed 1972989606 97597 English 9/13/2021 TIFFANY L Clinical Social Worker LEE, BRUNA Other 1881215010 English 9/13/2021 Y Qualitified Spanish Provider LOPEZ- Other 1235751249 English 9/13/2021 YGLESIAS, Qualitified Spanish ALICIA I Provider MELLADO, Associate 1447741046 114793 English 9/13/2021 REBEKA Marriage Spanish Family Therapist OURO- Other 1396354023 English 9/13/2021 AKONDO, Qualitified ALIYAH Provider REYNA, Licensed 1063811388 120220 English 9/13/2021 CAROLINA Marriage and Spanish Family Therapist VILLALOBO, Associate 1194275370 124784 English 9/13/2021 POLLINE Marriage Spanish Family Therapist WALI, JAZMIN Licensed 1437509650 119082 English 9/13/2021 Marriage and Spanish Family Therapist WYNGLASS, Associate 1811346281 104157 English 9/13/2021 RANDY Marriage Family Therapist YOSHIKAWA, Other 1891316022 English 9/13/2021 KYLEE M Qualitified Provider

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HOFFMAN, Other 1154937860 English 9/13/2021 MICHELLE Qualitified Provider KISER, Associate 1508401092 115900 English 9/13/2021 CHANDA D Marriage Family Therapist KLOOSTER, Associate 1891342374 97810 English 9/13/2021 RAYA Clinical Social Worker LEZAMA, Other 1396364626 English 9/13/2021 JAIMIE Qualitified Spanish Provider MACIAS, Associate 1447810353 121055 English 9/13/2021 DOMINIQUE Marriage Family Therapist MORGAN, Licensed 1720250285 48140 English 9/13/2021 EMILY Marriage and Family Therapist RIGALI, Licensed 1083078851 119238 English 9/13/2021 SARAH Marriage and Spanish Family Therapist RODRIGUEZ, Mental Health 1942829890 English 9/13/2021 ELSA Rehabilitation Spanish Specialist SOLOMON, Licensed 1184760886 35590 English 9/13/2021 MICHELE P Marriage and Family Therapist THOMAS, Associate 1407485717 95330 English 9/13/2021 NATASHA N Clinical Social Worker TRAUTZ, 1740896562 English 9/13/2021 KRYSTLE Spanish

UTZ, Associate 1992280119 109205 English 9/13/2021 ALESSANDRA Marriage Spanish COCO Family Therapist CASA DE AMPARO INC. CASA DE A full range of Title 9 diagnostic and brief Countywide Open Yes Children (6-18) BERGERON, Associate 1184124026 101580 English 9/13/2021 AMPARO- RESIDENTIAL treatment specialty behavioral health services SHEENA Marriage OUTPATIENT CHILDREN'S MENTAL including assessment, evaluation, plan Family HEALTH SERVICES development, collateral, individual/group/family Therapist therapy, rehabilitation, Intensive Care BOTTOM, Associate 1245762319 110076 English 9/13/2021 325 Buena Creek Rd. Coordination (ICC), Intensive Home-Based CAITLYN Marriage San Marcos, CA, 92069 Services (IHBS), crisis intervention, and case Family 760-754-5500 management services. Therapist www.casadeamparo.org GILDIN, JOAN Physician 1396847299 40268 English 9/13/2021 S

HOFFMAN, Other 1154937860 English 9/13/2021 MICHELLE Qualitified Provider Prepared By: Optum PS SD Page: 74 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

UTZ, Associate 1992280119 109205 English 9/13/2021 ALESSANDRA Marriage Spanish COCO Family Therapist FRED FINCH YOUTH CENTER FFYC Residential outpatient behavioral health Countywide Open Yes Children (6-18) BLINN, Mental Health 1396332805 English 9/13/2021 - SAN DIEGO program for DD or SED youths ages 12-17.5 HEATHER Rehabilitation years old. Specialist 3845 Spring Drive FUQUA, Associate 1831730480 7790 English 9/13/2021 Spring Valley, CA, 91977 SARAH Professional 510-482-2244 ext.5200 Clinical Counselor www.fredfinch.org FUQUA, Associate 1831730480 7790 English 9/13/2021 SARAH Professional Clinical Counselor KANE, Licensed 1639225147 27369 English 9/13/2021 DESIREE A Clinical Social Worker LARSON, Physician 1326305988 A130546 English 9/13/2021 JENNIFER L

LARSON, Physician 1326305988 A130546 English 9/13/2021 JENNIFER L

LOI, Licensed 1922513399 118884 English 9/13/2021 JENNIFER C Marriage and Family Therapist MARTIR, Licensed 1568879062 98858 English 9/13/2021 GEMA Y Marriage and Spanish Family Therapist Prepared By: Optum PS SD Page: 75 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL FRED FINCH YOUTH CENTER FFYC Residential outpatient behavioral health Countywide Open Yes Children (6-18) OLAZABAL, Mental Health 1548867286 English 9/13/2021 HEALTH - SAN DIEGO program for DD or SED youths ages 12-17.5 NATALIA L Rehabilitation Spanish RESIDENTIAL years old. Specialist TREATMENT 3845 Spring Drive ROBERTSON, Associate 1518459197 96512 English 9/13/2021 Spring Valley, CA, 91977 KRISTI L Marriage 510-482-2244 ext.5200 Family Therapist www.fredfinch.org ROBERTSON, Associate 1518459197 96512 English 9/13/2021 KRISTI L Marriage Family Therapist NEW ALTERNATIVES INC. SOUTH Full Day Rehabilitation program for Countywide Open by Yes Adolescent (12-17) ALDANA, Other 1053971291 English 9/13/2021 CAMPUS RESIDENTIAL FULL DAY adolescents ages 12-18 who are Severely Authorization GILBERT Qualitified Spanish REHABILITATION CHILDREN'S Emotionally Disturbed (SED), who are full- Only Provider MENTAL HEALTH SERVICES scope Medi-Cal beneficiaries residing in New BOBROW, Physician 1295767622 G77638 English 9/13/2021 Alternatives South Campus Residential/Short- DAVID 730 Medical Center Ct Term Residential Therapeutic Program Chula Vista, CA, 91911 (STRTP). Provide a full range of Title 9 619-397-6978 outpatient diagnostic and treatment services DOUGHERTY, Associate 1932755741 95640 English 9/13/2021 for youth that are not current candidates for MEGAN M Clinical Social www.sandiego.networkofcare.org the day program and who meet medical Worker necessity criteria. JENNINGS, Licensed 1730227935 46720 English 9/13/2021 DAWN G Marriage and Family Therapist JONES, Other 1770146383 English 9/13/2021 STACEY Qualitified Provider LOERA, Associate 1679106868 113007 English 9/13/2021 KAREN L Marriage Spanish Family Therapist MARSHALL, Associate 1740769397 98589 English 9/13/2021 DANIEL Clinical Social Worker MUNOZ, Associate 1356955355 120179 English 9/13/2021 DIANA Marriage Family Therapist WILLIAMSON, Associate 1538645635 83937 English 9/13/2021 DANIELLE E Clinical Social Worker NEW ALTERNATIVES INC.NA - SAN Provides full day rehabilitation and peer Countywide Open by Yes Adolescent (12-17) BOBROW, Physician 1295767622 G77638 English 9/13/2021 PASQUAL ACADEMY mentor services to San Pascual Academy Authorization DAVID residents Only 17701 San Pasqual Valley Road STARK, Licensed 1306094073 48577 English 9/13/2021 Escondido, CA, 92025 ELIZABETH Marriage and Spanish 760-233-6003 ANN Family Therapist www.sanpasqualacademy.org TUBBS, Licensed 1598064412 43731 English 9/13/2021 CHARIS L Marriage and Family Therapist TUCKER, Licensed 1447555123 100510 English 9/13/2021 TIFFANY Marriage and Family Therapist SAN DIEGO CENTER FOR Residential OP Children's Mental Health Countywide Open Yes Children (6-18) BASS, BRIAN Licensed 1861702730 78872 English 9/13/2021 CHILDREN SDCC RESIDENTIAL OP Services J Clinical Social CHILDREN'S MENTAL HEALTH Worker SERVICES BAUER, JULIE Associate 1679071880 119708 English 9/13/2021 L Marriage 3002 Armstrong Street Family San Diego, CA, 92111 Therapist 858-277-9550 BORDAS, Licensed 1801913363 84598 English 9/13/2021 www.centerforchildren.org MARIANA Marriage and Spanish Family Therapist Prepared By: Optum PS SD Page: 76 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

MASTRONAR Associate 1700430766 116598 English 9/13/2021 DI, Marriage ANTOINETTE Family V Therapist MATHIS, 1104347160 English 9/13/2021 KIMBERLY D

OLVERA, Mental Health 1750845335 English 9/13/2021 LETICIA M Rehabilitation Specialist PATEL, ANIL Physician 1164462164 A46378 English 9/13/2021 S

POWERS, Licensed 1558572875 52722 English 9/13/2021 CASSIE A Marriage and Family Therapist SALINAS, Licensed 1609074830 82438 English 9/13/2021 ERVEY Marriage and Spanish Family Therapist TATA, SATYA Physician 1518086404 A98273 English 9/13/2021 V

URENA Other 1477169613 English 9/13/2021 ROSARIO, Qualitified ANA Provider

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BEZOLD, Associate 1982193488 114551 Arabic 9/13/2021 CANDITA D Marriage English Family Therapist BRITT, Mental Health 1922520386 Arabic 9/13/2021 CHAUNTELL Rehabilitation English D Specialist CALDERON Associate 1801348065 96933 Arabic 9/13/2021 DOMINGUEZ, Marriage English NATHALY Family Spanish Therapist CHAVEZ, Other 1073624193 Arabic 9/13/2021 JOSE A Qualitified English Provider Spanish

CHHUN, Mental Health 1770031080 Arabic 9/13/2021 MARDY Rehabilitation Cambodian Specialist English

CHOU, HSUN- Physician 1346446713 104455 Arabic 9/13/2021 HUA English Mandarin

CUNNINGHA Other 1558877928 Arabic 9/13/2021 M, SADE M Qualitified English Provider Spanish

DICE, ERIC Mental Health 1285176180 Arabic 9/13/2021 Rehabilitation English Specialist Spanish

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GARCIA, Other 1194122853 Arabic 9/13/2021 MARISA Qualitified English Provider Spanish

GARCIA, Mental Health 1992354336 Arabic 9/13/2021 MELISSA Rehabilitation English Specialist Spanish American Sign Language GOLPER, Licensed 1831614890 99036 Arabic 9/13/2021 NATASHA G Clinical Social English Worker GUTIERREZ, Mental Health 1275817819 Arabic 9/13/2021 SANDY Rehabilitation English Specialist Spanish

HERNANDEZ Mental Health 1073022802 Arabic 9/13/2021 JIMENEZ, Rehabilitation English BRENDA Specialist Spanish NAHIELY HOLLAND, Associate 1487084059 118259 Arabic 9/13/2021 ASHLEY J Marriage English Family Spanish Therapist HORTA- Mental Health 1639738776 Arabic 9/13/2021 CORONA, Rehabilitation English YASMIN Specialist Spanish

JACKSON, Other 1912487752 Arabic 9/13/2021 FREEDA Qualitified English Provider LARA, HELEN Mental Health 1124139324 Arabic 9/13/2021 Rehabilitation English Specialist Spanish

LEOS, MARIA Other 1346774056 Arabic 9/13/2021 Qualitified English Provider Spanish

MARTINEZ, Mental Health 1619477437 Arabic 9/13/2021 JAMIE Rehabilitation English Specialist Spanish

MAYS, Associate 1285941716 74480 Arabic 9/13/2021 RECHELE A Clinical Social English Worker

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www.mhsinc.org MILLER, Associate 1124544598 83424 Arabic 9/13/2021 SHARNA Clinical Social English Worker PARIS, Associate 1801374533 99950 Arabic 9/13/2021 TERESA L Marriage English Family Tagalog Therapist POLTL, GINA Licensed 1801093307 123041 Arabic 9/13/2021 M Marriage and English Family Therapist POULSON, Licensed 1093960254 99742 Arabic 9/13/2021 CARRIE Clinical Social English Worker RAMIREZ, Mental Health 1528588290 Arabic 9/13/2021 EMMA Y Rehabilitation English Specialist Spanish

RAMIREZ, Other 1164948527 Arabic 9/13/2021 VIVIAN R Qualitified English Provider Spanish

RANDAZZO, Other 1740660091 Arabic 9/13/2021 PENNY Qualitified English Provider RUIZ, Associate 1841850914 77248 Arabic 9/13/2021 DANIELA Clinical Social English Worker Spanish

SADEGHI Associate 1487135521 94131 Arabic 9/13/2021 NAEINI, Marriage English SHIVA Family Farsi Therapist WALSH, Associate 1134769490 110216 Arabic 9/13/2021 EMILY Marriage English Family Spanish Therapist WHITE, Other 1316305139 Arabic 9/13/2021 ALEXIS Qualitified English Provider MENTAL HEALTH SYSTEMS INC. Provide individual/group/family treatment, case Countywide Open Yes Children (6-18) AGUILAR, Mental Health 1285179804 English 9/13/2021 MHS FF NORTH WRAPAROUND management/rehabilitative services, ICC, VANESSA Rehabilitation Spanish PROGRAM IHBS, crisis intervention, medication Specialist management, and outreach to, avoid high end AVALON, Mental Health 1578742144 English 9/13/2021 330 Rancheros Drive, Suite 106 residential care, and/or to facilitate step down DIANE Rehabilitation San Marcos, CA, 92069 to a lower level of care, home or home-like Specialist 858-573-2600 setting. Case Management intensive. BAIRD, Licensed 1639610025 122364 English 9/13/2021 www.mhsinc.org LAURA A Marriage and Family Therapist BATES, SADE Other 1750654893 English 9/13/2021 Qualitified Provider BECRAFT, Physician 1588867949 74977 English 9/13/2021 MYRA

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CUNNINGHA Other 1558877928 English 9/13/2021 M, SADE M Qualitified Spanish Provider DICE, ERIC Mental Health 1285176180 English 9/13/2021 Rehabilitation Spanish Specialist DIESEL, Associate 1922542596 97032 English 9/13/2021 KORTNEY E Marriage Family Therapist DUARTE, Mental Health 1770950982 English 9/13/2021 MIGUEL Rehabilitation Spanish Specialist EPENESA, Other 1598191256 English 9/13/2021 TUTASI Qualitified Provider FLANIGAN, Associate 1073057154 4019 English 9/13/2021 KATHLEEN L Professional Clinical Counselor GALVAN, Mental Health 1932758364 English 9/13/2021 ADAN Rehabilitation Spanish Specialist GARCIA, Other 1194122853 English 9/13/2021 MARISA Qualitified Spanish Provider GARCIA, Mental Health 1992354336 English 9/13/2021 MELISSA Rehabilitation Spanish Specialist American Sign Language GOLPER, Licensed 1831614890 99036 English 9/13/2021 NATASHA G Clinical Social Worker GUTIERREZ, Mental Health 1275817819 English 9/13/2021 SANDY Rehabilitation Spanish Specialist HERNANDEZ Mental Health 1073022802 English 9/13/2021 JIMENEZ, Rehabilitation Spanish BRENDA Specialist NAHIELY

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VAZQUEZ, Other 1568866838 English 9/13/2021 RAQUEL Qualitified Spanish Provider WALCHSHAU Licensed 1730427915 53663 English 9/13/2021 SER, LEA R Marriage and Family Therapist WIENER, Licensed 1053741082 75032 English 9/13/2021 CHELSEA M Clinical Social Worker WORBINGTO Other 1336781368 English 9/13/2021 N, WENDY G Qualitified Provider SAN DIEGO CENTER FOR Wraparound services-CWS or Probation Countywide Open Yes Young Children (0-5) ACEVEDO, Licensed 1255700514 117819 English 9/13/2021 CHILDREN SDCC WRAPWORKS Departments. Highly individualized services to Children (6-18) NANCY Marriage and Spanish FSP NORTH maximize the capacity of the family too meet Family the child's needs and reduce the level of care Therapist 235 5th Avenue #130 from a group home placement to a home or ARAMBULA, Other 1760928451 English 9/13/2021 Escondido, CA, 92025 home-like setting. Certified outpatient mental MAYRA I Qualitified Spanish 858-277-9550 health program individual/group/family Provider treatment, case management/rehabilitative www.centerforchildren.org services, ICC, IHBS, crisis intervention ARIAS Other 1104248087 English 9/13/2021 medication management, outreach at schools ACUNA, JOSE Qualitified Spanish and in the community and FSO MHSA low Provider income uninsured children. BECKMANN, Mental Health 1437628211 English 9/13/2021 LINDA Rehabilitation Specialist BUCHER, Licensed 1720409428 74441 English 9/13/2021 JOHN Clinical Social Worker CALNAN, Associate 1679105290 94296 English 9/13/2021 AMANDA E Clinical Social Spanish Worker CAMPOS, Mental Health 1285891572 English 9/13/2021 ADRIANA Rehabilitation Spanish Specialist CANIZALES, Associate 1407490337 92914 English 9/13/2021 ALICIA R Clinical Social Spanish Worker

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL SAN DIEGO CENTER FOR Wraparound services-CWS or Probation Countywide Open Yes Young Children (0-5) CARROLL, Other 1902317860 English 9/13/2021 HEALTH CHILDREN SDCC WRAPWORKS Departments. Highly individualized services to Children (6-18) ERICA Qualitified WRAPAROUN FSP NORTH maximize the capacity of the family too meet Provider D the child's needs and reduce the level of care CASTRO, Mental Health 1518512698 English 9/13/2021 235 5th Avenue #130 from a group home placement to a home or VANESSA Rehabilitation Spanish Escondido, CA, 92025 home-like setting. Certified outpatient mental Specialist 858-277-9550 health program individual/group/family treatment, case management/rehabilitative CURTIS, Other 1275711038 English 9/13/2021 www.centerforchildren.org services, ICC, IHBS, crisis intervention SONIA Qualitified Spanish medication management, outreach at schools Provider and in the community and FSO MHSA low DENARO, Associate 1316587504 92626 English 9/13/2021 income uninsured children. CHRISTINE Clinical Social Worker DIAZ, TANIA Mental Health 1760013866 English 9/13/2021 Rehabilitation Spanish Specialist ELFTMAN, Other 1154840874 English 9/13/2021 ROBERT A Qualitified Provider ENGLEBREC Associate 1336432277 87367 English 9/13/2021 HT, KAROL Clinical Social Spanish Worker ESTRADA, Other 1154795599 English 9/13/2021 GERALDINE Qualitified Spanish Provider GABRIEL, Other 1356983233 English 9/13/2021 GLENDA M Qualitified Provider GARCIA, Mental Health 1154961928 English 9/13/2021 DANIEL S Rehabilitation Spanish Specialist HERNANDEZ, Other 1497273411 English 9/13/2021 JESSICA Qualitified Spanish Provider HERST, JULIA Associate 1326534652 95643 English 9/13/2021 M Clinical Social Worker HORTON, Associate 1023489846 88947 English 9/13/2021 CRYSTAL D Clinical Social Worker HURTADO, Other 1497266498 English 9/13/2021 MAYRA C Qualitified Spanish Provider JONES, Other 1134559693 English 9/13/2021 DARRON Qualitified Provider JONES, Other 1093142051 English 9/13/2021 DAVERY Qualitified Provider LOPEZ, Mental Health 1326654419 English 9/13/2021 FILIBERTO A Rehabilitation Spanish Specialist MARTINE, Mental Health 1043841141 English 9/13/2021 ELIZABETH J Rehabilitation Spanish Specialist MARTINEZ, Licensed 1528519055 7861 English 9/13/2021 ALYSSA Professional Spanish Clinical Counselor MARTINEZ, Other 1740714492 English 9/13/2021 DANIELLE M Qualitified Provider MEDINA, Associate 1053859579 80697 English 9/13/2021 LAURA Clinical Social Spanish Worker

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WALCHSHAU Licensed 1730427915 53663 English 9/13/2021 SER, LEA R Marriage and Family Therapist WIENER, Licensed 1053741082 75032 English 9/13/2021 CHELSEA M Clinical Social Worker WORBINGTO Other 1336781368 English 9/13/2021 N, WENDY G Qualitified Provider

Prepared By: Optum PS SD Page: 89 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL SAN DIEGO CENTER FOR Wraparound services-CWS or Probation Countywide Open Yes Young Children (0-5) ACEVEDO, Licensed 1255700514 117819 English 9/13/2021 HEALTH CHILDREN SDCC WRAPWORKS Departments. Highly individualized services to Children (6-18) NANCY Marriage and Spanish WRAPAROUN FSP SOUTH maximize the capacity of the family too meet Family D the child's needs and reduce the level of care Therapist 123 Worthington St.Ste. 201 from a group home placement to a home or ARAMBULA, Other 1760928451 English 9/13/2021 Spring Valley, CA, 91977 home-like setting. Certified outpatient mental MAYRA I Qualitified Spanish 858-277-9550 health program individual/group/family Provider treatment, case management/rehabilitative www.centerforchildren.org services, ICC, IHBS, crisis intervention ARIAS Other 1104248087 English 9/13/2021 medication management, outreach at schools ACUNA, JOSE Qualitified Spanish and in the community and FSO MHSA low Provider income uninsured children. BECKMANN, Mental Health 1437628211 English 9/13/2021 LINDA Rehabilitation Specialist BUCHER, Licensed 1720409428 74441 English 9/13/2021 JOHN Clinical Social Worker CALNAN, Associate 1679105290 94296 English 9/13/2021 AMANDA E Clinical Social Spanish Worker CAMPOS, Mental Health 1285891572 English 9/13/2021 ADRIANA Rehabilitation Spanish Specialist CARROLL, Other 1902317860 English 9/13/2021 ERICA Qualitified Provider CASTRO, Mental Health 1518512698 English 9/13/2021 VANESSA Rehabilitation Spanish Specialist CURTIS, Other 1275711038 English 9/13/2021 SONIA Qualitified Spanish Provider DENARO, Associate 1316587504 92626 English 9/13/2021 CHRISTINE Clinical Social Worker DIAZ, TANIA Mental Health 1760013866 English 9/13/2021 Rehabilitation Spanish Specialist ELFTMAN, Other 1154840874 English 9/13/2021 ROBERT A Qualitified Provider ENGLEBREC Associate 1336432277 87367 English 9/13/2021 HT, KAROL Clinical Social Spanish Worker ESTRADA, Other 1154795599 English 9/13/2021 GERALDINE Qualitified Spanish Provider GABRIEL, Other 1356983233 English 9/13/2021 GLENDA M Qualitified Provider GARCIA, Mental Health 1154961928 English 9/13/2021 DANIEL S Rehabilitation Spanish Specialist HERNANDEZ, Other 1497273411 English 9/13/2021 JESSICA Qualitified Spanish Provider HERST, JULIA Associate 1326534652 95643 English 9/13/2021 M Clinical Social Worker HORTON, Associate 1023489846 88947 English 9/13/2021 CRYSTAL D Clinical Social Worker HURTADO, Other 1497266498 English 9/13/2021 MAYRA C Qualitified Spanish Provider

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL SAN DIEGO CENTER FOR Wraparound services-CWS or Probation Countywide Open Yes Young Children (0-5) JONES, Other 1982176145 English 9/13/2021 HEALTH CHILDREN SDCC WRAPWORKS Departments. Highly individualized services to Children (6-18) AUDREY Qualitified WRAPAROUN FSP SOUTH maximize the capacity of the family too meet Provider D the child's needs and reduce the level of care JONES, Other 1134559693 English 9/13/2021 123 Worthington St.Ste. 201 from a group home placement to a home or DARRON Qualitified Spring Valley, CA, 91977 home-like setting. Certified outpatient mental Provider 858-277-9550 health program individual/group/family treatment, case management/rehabilitative JONES, Other 1093142051 English 9/13/2021 www.centerforchildren.org services, ICC, IHBS, crisis intervention DAVERY Qualitified medication management, outreach at schools Provider and in the community and FSO MHSA low LOPEZ, Mental Health 1326654419 English 9/13/2021 income uninsured children. FILIBERTO A Rehabilitation Spanish Specialist MARTINE, Mental Health 1043841141 English 9/13/2021 ELIZABETH J Rehabilitation Spanish Specialist MARTINEZ, Licensed 1528519055 7861 English 9/13/2021 ALYSSA Professional Spanish Clinical Counselor MARTINEZ, Other 1740714492 English 9/13/2021 DANIELLE M Qualitified Provider MEDINA, Associate 1053859579 80697 English 9/13/2021 LAURA Clinical Social Spanish Worker MEJIA Associate 1245704865 6099 English 9/13/2021 SALGADO, Professional Spanish JOHANNA I Clinical Counselor MILLER, Licensed 1285064865 102672 English 9/13/2021 JORDAN Marriage and Family Therapist MOYA- Associate 1649734724 5854 English 9/13/2021 MAGANA, Professional Spanish IMELDA Clinical Counselor NELSON, Associate 1639722812 6077 English 9/13/2021 KANDICE N Professional Clinical Counselor NEMBHARD, Licensed 1932234630 53593 English 9/13/2021 ADIA Marriage and Family Therapist OROZCO, Mental Health 1518573351 English 9/13/2021 JASMINE Y Rehabilitation Spanish Specialist PAGE, JARAE Associate 1427602341 6664 English 9/13/2021 Q Professional Spanish Clinical Counselor PATTERSON, Mental Health 1437700259 English 9/13/2021 JONAY S Rehabilitation Specialist PERES, Other 1114446010 English 9/13/2021 MARK G Qualitified Spanish Provider PETERSON, Licensed 1194003053 102726 English 9/13/2021 CHRISTOPHE Marriage and Spanish R Family Therapist PROVENCE, Associate 1134678899 103417 English 9/13/2021 SARA Marriage Family Therapist

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL SAN DIEGO CENTER FOR Wraparound services-CWS or Probation Countywide Open Yes Young Children (0-5) ROBERTSON, Mental Health 1336782697 English 9/13/2021 HEALTH CHILDREN SDCC WRAPWORKS Departments. Highly individualized services to Children (6-18) COURTNEY J Rehabilitation WRAPAROUN FSP SOUTH maximize the capacity of the family too meet Specialist D the child's needs and reduce the level of care SANCHEZ, Mental Health 1689229767 English 9/13/2021 123 Worthington St.Ste. 201 from a group home placement to a home or JACQUELINE Rehabilitation Spanish Spring Valley, CA, 91977 home-like setting. Certified outpatient mental A Specialist 858-277-9550 health program individual/group/family treatment, case management/rehabilitative TATA, SATYA Physician 1518086404 A98273 English 9/13/2021 www.centerforchildren.org services, ICC, IHBS, crisis intervention V medication management, outreach at schools and in the community and FSO MHSA low VAZQUEZ, Other 1568866838 English 9/13/2021 income uninsured children. RAQUEL Qualitified Spanish Provider WALCHSHAU Licensed 1730427915 53663 English 9/13/2021 SER, LEA R Marriage and Family Therapist WORBINGTO Other 1336781368 English 9/13/2021 N, WENDY G Qualitified Provider MENTAL COMMUNITY RESEARCH YOUNG Short-Doyle Medi-Cal (SD/MC) certified Bio- North Central Open Yes Transition Age Youth ACKERMAN, Licensed 1225410137 114822 English 9/13/2021 HEALTH WELLNESS RECOVERY CENTER Psychosocial Rehabilitation (BPSR) Wellness (16-25) KRISTEN N Marriage and OUTPATIENT/ Recovery Center. Contract provides Adult (18+) Family REHABILITATI 10717 Camino Ruiz#207 outpatient mental health rehabilitation and Older Adult (60+) Therapist ON San Diego, CA, 92126 recovery services, an urgent walk-in AMATO, Associate 1043861719 117182 English 9/13/2021 858-695-2211 component, case management; and long-term MEGAN A Marriage vocational. Participants can be 18 years or Family www.comresearch.org/serviceDetails. older. Program is located in North Central San Therapist php?id=NQ== Diego. Clients must be diagnosed with a serious mental illness and can include those BEERY, Licensed 1760535041 86033 English 9/13/2021 who may have a co-occurring substance. CATHERINE C Marriage and Family Therapist GIBBS, Associate 1427407089 83999 English 9/13/2021 BRIANNA Clinical Social Worker GUERRERO, Mental Health 1033622170 English 9/13/2021 MONIQUE H Rehabilitation Spanish Specialist HAYTER DE Licensed 1609125285 14777 English 9/13/2021 LOPEZ, APRIL Clinical Social J Worker IMHOFF, Associate 1700430196 124205 English 9/13/2021 JESSICA C Marriage Family Therapist KIRCHHOFF, Associate 1972011005 95824 English 9/13/2021 HEATHER A Clinical Social Worker LIPPERT, Other 1740887363 English 9/13/2021 CORINN E Qualitified Provider LOCKHART, Other 1518481993 English 9/13/2021 JACK D Qualitified Provider PHAN, HY V Physician 1144373408 56033 English 9/13/2021 Vietnamese

TALBOTT, Licensed 1700106622 99401 English 9/13/2021 LAURA Marriage and Family Therapist TALBOTT, Licensed 1700106622 99401 English 9/13/2021 LAURA Marriage and Family Therapist

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CROFT, Associate 1811546633 90133 English 9/13/2021 CHRISTINE Clinical Social Worker DOUROS, Other 1477172492 English 9/13/2021 ALEXA T Qualitified Provider DOUROS, Other 1477172492 English 9/13/2021 ALEXA T Qualitified Provider ESTEP, ERIC Mental Health 1235598442 English 9/13/2021 R Rehabilitation Specialist FOSTER, Associate 1942707310 6567 English 9/13/2021 JESSICA F Professional Clinical Counselor HAUSSER, Registered 1871946582 95054712 English 9/13/2021 RONA S Nurse

HUDSON, Licensed 1194159384 83712 English 9/13/2021 KATE Clinical Social Worker HUDSON, Licensed 1194159384 83712 English 9/13/2021 KATE Clinical Social Worker MANUEL, Physician 1699857813 A89173 English 9/13/2021 LUCKVIN P

MARIS, Other 1164903530 English 9/13/2021 MAXWELL K Qualitified Provider MARIS, Other 1164903530 English 9/13/2021 MAXWELL K Qualitified Provider MILANES, Associate 1477154177 123113 English 9/13/2021 TARA Marriage Family Therapist MILES, Other 1467077396 English 9/13/2021 HANNAH R Qualitified Provider MUBASHSHIR Associate 1962042390 115390 English 9/13/2021 , KADIRAH H Marriage Family Therapist NAWROCKI, Physician 1487882742 A123879 English 9/13/2021 KSENIA

PAI, SARAH A Nurse 1255762167 23711 English 9/13/2021 Practitioner

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TALBERT, Other 1689291189 English 9/13/2021 PATRICIA A Qualitified Provider WELSH, Other 1194349571 English 9/13/2021 COURTNEY L Qualitified Provider WHITHAN, Other 1184177404 English 9/13/2021 JAMES J Qualitified Provider YILDIRIM, Other 1265056048 English 9/13/2021 TILBE Qualitified Provider COMMUNITY RESEARCH Provides FSP enhanced outpatient Mental Central,North Open Yes Children (6-18) BAJET, Associate 1649830795 5863 English 9/13/2021 FOUNDATION CRF - DOUGLAS Health diagnostic and treatment services to Central Transition Age Youth EDMUND J Professional Spanish YOUNG YOUTH & FAMILY children/adolescents and their families in the (16- 25) Clinical SERVICES Central/North Central Regions of San Diego. Adult (18+) Counselor Services include dual diagnosis enhanced BERHE, Associate 1225691124 119800 English 9/13/2021 7907 Ostrow Street, Suite F individual, family and group therapy, case HINZA A Marriage San Diego, CA, 92111 management, rehabilitative services, Intensive Family 858-300-8282 care coordination (ICC), Intensive Home Therapist Based Services (IHBS), crisis intervention, www.comresearch.org medication management, & substance CAMPA, Other 1013545334 English 9/13/2021 use/abuse and tobacco use services and is LETTY G Qualitified Spanish MHSA funded. Provider CARRERA, Mental Health 1619590296 English 9/13/2021 JONAS Rehabilitation Spanish Specialist FERNANDEZ, Other 1760003628 English 9/13/2021 KAYLA M Qualitified Provider FRITH, Other 1922598622 English 9/13/2021 JONATHAN S Qualitified Spanish Provider FUENTES Mental Health 1255872008 NULL English 9/13/2021 CERVANTES, Rehabilitation Spanish HERIBERTO Specialist GONZALEZ, Mental Health 1932513231 NULL English 9/13/2021 YESENIA Rehabilitation Spanish Specialist HERDT, Other 1619598760 English 9/13/2021 PRESTON L Qualitified Provider HERNANDEZ, Other 1972122638 English 9/13/2021 SABINA N Qualitified Spanish Provider HUMBERGER, Mental Health 1396369450 English 9/13/2021 MORGAN A Rehabilitation Specialist ICE, AUSTIN Other 1861002040 English 9/13/2021 K Qualitified Provider IRAHETA, Associate 1780227041 111426 English 9/13/2021 REBECCA M Marriage Spanish Family Therapist

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL COMMUNITY RESEARCH Provides FSP enhanced outpatient Mental Central,North Open Yes Children (6-18) LADIA, Physician 1881629814 A74087 English 9/13/2021 HEALTH FOUNDATION CRF - DOUGLAS Health diagnostic and treatment services to Central Transition Age Youth LOUELLA Tagalog OUTPATIENT/ YOUNG YOUTH & FAMILY children/adolescents and their families in the (16- 25) REHABILITATI SERVICES Central/North Central Regions of San Diego. Adult (18+) MCGUIRE, Associate 1760918742 109259 English 9/13/2021 ON Services include dual diagnosis enhanced DANIELLE A Marriage 7907 Ostrow Street, Suite F individual, family and group therapy, case Family San Diego, CA, 92111 management, rehabilitative services, Intensive Therapist 858-300-8282 care coordination (ICC), Intensive Home Based Services (IHBS), crisis intervention, PIMIENTA, Associate 1326540758 112298 English 9/13/2021 www.comresearch.org medication management, & substance JOSUE Marriage Spanish use/abuse and tobacco use services and is Family MHSA funded. Therapist ROBINSON, Associate 1376037911 118082 English 9/13/2021 MAKENNA B Marriage Family Therapist RODRIGUEZ- Mental Health 1609435775 NULL English 9/13/2021 PEREZ, Rehabilitation Spanish ALICIA Specialist SEBOURN, Associate 1538608286 108810 English 9/13/2021 KERI L Marriage Family Therapist SIMON, Licensed 1922484732 124137 English 9/13/2021 MEGHAN M Marriage and Family Therapist SIRIA, Other 1720696966 English 9/13/2021 ESMERALDA Qualitified Spanish J Provider TEPOZAN Associate 1386904530 94399 English 9/13/2021 GUERRERO, Clinical Social Spanish DELIA Worker VALADEZ, Licensed 1467595447 90319 English 9/13/2021 AGUSTIN Marriage and Spanish Family Therapist WELSH, Licensed 1053637520 87425 English 9/13/2021 SARA L Marriage and Family Therapist COMMUNITY RESEARCH Clinical outpatient services that integrate East Open Yes Transition Age Youth DICKERSON, 1548660095 English 9/13/2021 FOUNDATION CRF- HEARTLAND mental health and rehabilitation treatment and (16-25) ALYSSA WELLNESS RECOVERY CENTER recovery services for TAY, Adults and Older Adult (18+) Adults who are seriously mentally ill including Older Adult (60+) DICKERSON, 1548660095 English 9/13/2021 460 N. Magnolia St., Suite 110 those who may also have co-occurring ALYSSA El Cajon, CA, 92020 substance abuse disorder, in the East region. 619-440-5133 GONZALEZ, Associate 1386185411 110202 English 9/13/2021 SANTIAGO Marriage Spanish www.comresearch.org/serviceDetails. Family php?id=Ng== Therapist ICHIYASU, Associate 1689199879 100935 English 9/13/2021 LORRIANE Marriage Family Therapist JAFFE, Associate 1194349837 95385 English 9/13/2021 LINDSEY Clinical Social Worker JAFFE, Associate 1194349837 95385 English 9/13/2021 LINDSEY Clinical Social Worker KISTLER, Physician 1033161740 A73938 English 9/13/2021 JONATHAN A

MCNALL, Mental Health 1245305663 English 9/13/2021 VIRGINIA A Rehabilitation Specialist

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SOMO, Registered 1356762025 775571 Arabic 9/13/2021 SAHIRA Nurse English

VALDERRAM Licensed 1053661256 99475 English 9/13/2021 A, ALFREDO Marriage and Spanish Family Therapist COMMUNITY RESEARCH Clinic and School-Based outpatient mental East Open Yes Young Children (0-5) ALVARENGA, Other 1720608516 English 9/13/2021 FOUNDATION CROSSROADS - health services including crisis intervention, Children (6-18) KAREN Qualitified Spanish SCHOOL BASED OUTPATIENT individual, family and group counseling, case Provider CHILDREN'S BEHAVIORAL HEALTH management, psychiatric services including AMADOR, Other 1992281836 English 9/13/2021 SERVICES medication management, Full Service ROSE I Qualitified Spanish Partnership (FSP) and School-based services. Provider 1679 East Main St., Suite 102 El Cajon, CA, 92021 ANDREWS, Other 1528680790 English 9/13/2021 619-441-1907 TAYLOR Qualitified RAAE Provider www.comresearch.org BAUTISTA, Associate 1093251001 98343 English 9/13/2021 BERTHA Marriage Spanish ALICIA Family Therapist CASTANEDA, Associate 1235632514 81381 English 9/13/2021 MADELINE M Clinical Social Spanish Worker CENIVEROS, Licensed 1700381811 696135 English 9/13/2021 DALIA Vocational Spanish Nurse CESSNA, Associate 1093204240 116793 English 9/13/2021 CHRISTINE V Marriage Family Therapist CHAVEZ, Mental Health 1568963916 English 9/13/2021 JULIO E Rehabilitation Spanish Specialist DIGGS, ANN Other 1205455862 English 9/13/2021 Qualitified Provider

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SEBASTIAN Mental Health 1760806343 English 9/13/2021 CRUZ, Rehabilitation Spanish JENNIFER Specialist VAZQUEZ, Associate 1265806228 77949 English 9/13/2021 ANGELICA Clinical Social Worker WALKER, Associate 1811457039 122509 English 9/13/2021 MARSI S Marriage Family Therapist WEISMAN, Associate 1780186395 80301 English 9/13/2021 ABIGAIL N Clinical Social Worker YACOB, Other 1740809144 Armenian 9/13/2021 LEENA F Qualitified English Provider COMMUNITY RESEARCH Short-Doyle Medi-Cal (SD/MC) certified Bio- North Central Open Yes Transition Age Youth ACKERMAN, Licensed 1225410137 114822 English 9/13/2021 FOUNDATION DOUGALS YOUNG Psychosocial Rehabilitation (BPSR) Wellness (16-25) KRISTEN N Marriage and WELLNESS RECOVERY CENTER Recovery Center. Contract provides Adult (18+) Family outpatient mental health rehabilitation and Older Adult (60+) Therapist 10717 Camino Ruiz#207 recovery services, an urgent walk-in AMATO, Associate 1043861719 117182 English 9/13/2021 San Diego, CA, 92126 component, case management; and long-term MEGAN A Marriage 858-695-2211 vocational. Participants can be 18 years or Family older. Program is located in North Central San Therapist www.comresearch.org/serviceDetails. Diego. Clients must be diagnosed with a php?id=NQ== serious mental illness and can include those GUERRERO, Mental Health 1033622170 English 9/13/2021 who may have a co-occurring substance. MONIQUE H Rehabilitation Spanish Specialist HAYTER DE Licensed 1609125285 14777 English 9/13/2021 LOPEZ, APRIL Clinical Social J Worker

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TALBOTT, Licensed 1700106622 99401 English 9/13/2021 LAURA Marriage and Family Therapist COMMUNITY RESEARCH South Region - Outpatient mental health clinic South Open Yes Adult (18+) ABERCROMBI Associate 1114461092 3255 English 9/13/2021 FOUNDATION MARIA SARDINAS providing outpatient mental health treatment, E, JULIANA I Professional Spanish WELLNESS RECOVERY CENTER rehabilitation, recovery, urgent walk-in Clinical services, peer support, case management Counselor 1465 30th Street, Suite K brokerage and linkage services, supported ABERCROMBI Associate 1114461092 3255 English 9/13/2021 San Diego, CA, 92154 employment services, senior outreach, and E, JULIANA I Professional Spanish 619-428-1000 strengths-based case management (SBCM) Clinical services to adults 18+ with serious mental Counselor www.comresearch.org illness (SMI), including those who may have a co-occurring substance use disorder. Includes ASCENCIO, Other 1215553466 English 9/13/2021 TAY population and Probation-funded AB 109. CRISTINA M Qualitified Provider ASCENCIO, Other 1215553466 English 9/13/2021 CRISTINA M Qualitified Provider BRYSON, Licensed 1477593416 20477 English 9/13/2021 POLINA Psychologist

BUCHHEIT, Associate 1124478235 109862 English 9/13/2021 LAUREN Marriage Family Therapist BURPEE, Nurse 1356682306 95010539 English 9/13/2021 ELENA M Practitioner

CAMARGO, Associate 1083744098 105605 English 9/13/2021 SANDRA L Marriage Spanish Family Therapist CHANG, Physician 1093918807 A119710 English 9/13/2021 YUFANG J Spanish

COSALAN, Licensed 1356467393 223113 English 9/13/2021 CHRISTOPHE Vocational Spanish R Nurse DATU, Licensed 1598363269 712220 English 9/13/2021 REYNALDO Vocational Nurse DOMINGUEZ, Associate 1245715390 5335 English 9/13/2021 CLAUDIA Professional Spanish Clinical Counselor DOMINGUEZ, Associate 1245715390 5335 English 9/13/2021 CLAUDIA Professional Spanish Clinical Counselor

Prepared By: Optum PS SD Page: 98 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

OGAZON, Other 1285266577 English 9/13/2021 BRIANA S Qualitified Provider PEPITON, Licensed 1497820344 23246 English 9/13/2021 MORGAN Psychologist BRIANNA PEPITON, Licensed 1497820344 23246 English 9/13/2021 MORGAN Psychologist BRIANNA SALAZAR, Associate 1316493778 78946 English 9/13/2021 YARITZA M Clinical Social Spanish Worker SIRIA, JOEL A Associate 1417474677 113236 English 9/13/2021 Marriage Spanish Family Therapist SIRIA, JOEL A Associate 1417474677 113236 English 9/13/2021 Marriage Spanish Family Therapist STRUCK, Associate 1033698956 96802 English 9/13/2021 JACQUELINE Clinical Social Worker TUBON, Associate 1710548672 91929 English 9/13/2021 BEVERLY Clinical Social Worker VASQUEZ, Associate 1174084495 123381 English 9/13/2021 BERENICE Marriage Family Therapist

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LIM, DINA Physician 1104083641 8089 English 9/13/2021 Korean

MARONEY, Associate 1801355458 86175 English 9/13/2021 ANNEMARIE Marriage Spanish Family Therapist MARTIN, Associate 1992358220 120831 English 9/13/2021 DANIELA Marriage Spanish Family Therapist MARTINEZ, Other 1093335606 English 9/13/2021 MARIA I Qualitified Spanish Provider MOLINA, Other 1447739586 English 9/13/2021 MARISELA Qualitified Spanish Provider PEREZ, Associate 1316564305 112171 English 9/13/2021 SYLVIA Marriage Spanish Family Therapist PHELPS, Licensed 1598166084 100235 English 9/13/2021 CHRISTINE Clinical Social Worker SACKETT, Other 1821607128 English 9/13/2021 RACHEL L Qualitified Provider SALAZAR Associate 1720547102 118025 English 9/13/2021 RAMIREZ, Marriage Spanish MAIRA Family Therapist SIMOES Associate 1346703154 122809 English 9/13/2021 ARGOLLO, Marriage Spanish SUSE S Family Therapist SMITH, Other 1306467097 English 9/13/2021 CARLEE D Qualitified Provider WIMER, Licensed 1689038457 115213 English 9/13/2021 ALEXIS R Marriage and Family Therapist

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SANCHEZ, Associate 1942856471 96113 English 9/13/2021 ARLETTE Clinical Social Spanish Worker TAPIA, Associate 1497296628 110550 English 9/13/2021 JANETTE Marriage Spanish Family Therapist TAYLOR, Associate 1861932402 7082 English 9/13/2021 TERESHA Professional Clinical Counselor TOLOZA Associate 1316583925 93110 English 9/13/2021 IBARRA, Clinical Social Spanish KAREN Worker TORRES, Licensed 1154770782 111044 English 9/13/2021 ZUGIEL Marriage and Spanish Family Therapist VILLALOBOS, Licensed 1033317185 83492 English 9/13/2021 ANA Marriage and Spanish Family Therapist VILLANUEVA, Licensed 1629522867 94663 English 9/13/2021 OLGA Clinical Social Spanish Worker WAY, CINDY Other 1659991198 English 9/13/2021 Qualitified Tagalog Provider COMMUNITY RESEARCH South Region - Outpatient mental health clinic South Open Yes Adult (18+) ALMARAKES Associate 1427670611 97785 English 9/13/2021 FOUNDATION SOUTH BAY providing treatment, rehabilitation, recovery, HY, ARIEL B Clinical Social GUIDANCE WELLNESS RECOVERY urgent walk-in services, peer support, case Worker CENTER management brokerage and linkage services, ATIYEH, Associate 1588198998 5559 Arabic 9/13/2021 supported employment services, senior LEILA N Professional English 1196 3rd Avenue outreach, and strengths-based case Clinical Chula Vista, CA 91911 management (SBCM) services to adults age Counselor 619-427-4661 18+ who have serious mental illness (SMI), including those who may have a co-occurring CAMACHO- Licensed 1356471866 106031 English 9/13/2021 www.comresearch.org substance use disorder. SEPULVEDA, Marriage and Spanish TALISSA Family Therapist EBERT, Mental Health 1689032559 English 9/13/2021 KIMBERLEY L Rehabilitation Spanish Specialist

Prepared By: Optum PS SD Page: 103 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

MALAK, Physician 1467773028 A115345 Arabic 9/13/2021 LAWRENCE T English

MAX, RACHEL Associate 1205389616 84443 English 9/13/2021 K Clinical Social Worker MCGUIRE, 1578118972 English 9/13/2021 MICHELLE T

MEDIATI, Associate 1710432562 95940 English 9/13/2021 ELIZABETH A Clinical Social Spanish Worker MEJIA, Other 1124642418 English 9/13/2021 ESTEFANI J Qualitified Spanish Provider MORENO, Associate 1700408432 98476 English 9/13/2021 CARLOS R Clinical Social Spanish Worker PUSO, ANNE Other 1467075903 English 9/13/2021 MARIE C Qualitified Provider RAMOS Associate 1043827470 121887 English 9/13/2021 CHRISTERSO Marriage Spanish N, KELSEY A Family Therapist RIMER, Associate 1174049035 109846 English 9/13/2021 BLAINE G Marriage Family Therapist SALAZAR, Associate 1316493778 78946 English 9/13/2021 YARITZA M Clinical Social Spanish Worker SNELL, Registered 1255975769 95117726 English 9/13/2021 MOLLY J Nurse

VALDEZ, Mental Health 1700947074 English 9/13/2021 MARIA Rehabilitation Spanish TERESA Specialist YOUNG, Registered 1841411808 417311 English 9/13/2021 PATRICIA D Nurse Tagalog

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CAMACHO- Licensed 1356471866 106031 English 9/13/2021 SEPULVEDA, Marriage and Spanish TALISSA Family Therapist CAMACHO- Licensed 1356471866 106031 English 9/13/2021 SEPULVEDA, Marriage and Spanish TALISSA Family Therapist CASTILLO, Physician 1114459252 158480 English 9/13/2021 TIFFANY A Spanish

CASTILLO, Physician 1114459252 158480 English 9/13/2021 TIFFANY A Spanish

CESARZ, Physician 1962999698 165182 English 9/13/2021 ALISON M Spanish

DEBBOLD, Physician 1144726415 164068 English 9/13/2021 ERIC M

EBERT, Mental Health 1689032559 English 9/13/2021 KIMBERLEY L Rehabilitation Spanish Specialist FERRER, Physician 1316175524 123390 English 9/13/2021 ADAREZZA I Spanish

KEARNES, Registered 1588208094 95043200 English 9/13/2021 OLIVIA J Nurse

KENDRICK, Licensed 1629150834 25089 English 9/13/2021 BRIAN A Clinical Social Spanish Worker KENDRICK, Licensed 1629150834 25089 English 9/13/2021 BRIAN A Clinical Social Spanish Worker KNOWLES, Associate 1528601499 108342 English 9/13/2021 ARIANNA F Marriage Family Therapist KNOWLES, Associate 1528601499 108342 English 9/13/2021 ARIANNA F Marriage Family Therapist LEWIS, ZAIAH Other 1598389694 English 9/13/2021 J Qualitified Provider LEWIS, ZAIAH Other 1598389694 English 9/13/2021 J Qualitified Provider

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MAX, RACHEL Associate 1205389616 84443 English 9/13/2021 K Clinical Social Worker MAX, RACHEL Associate 1205389616 84443 English 9/13/2021 K Clinical Social Worker MCGUIRE, 1578118972 English 9/13/2021 MICHELLE T

MCGUIRE, 1578118972 English 9/13/2021 MICHELLE T

MEDIATI, Associate 1710432562 95940 English 9/13/2021 ELIZABETH A Clinical Social Spanish Worker MEDIATI, Associate 1710432562 95940 English 9/13/2021 ELIZABETH A Clinical Social Spanish Worker MEJIA, Other 1124642418 English 9/13/2021 ESTEFANI J Qualitified Spanish Provider MORENO, Associate 1700408432 98476 English 9/13/2021 CARLOS R Clinical Social Spanish Worker MORENO, Associate 1700408432 98476 English 9/13/2021 CARLOS R Clinical Social Spanish Worker PUSO, ANNE Other 1467075903 English 9/13/2021 MARIE C Qualitified Provider RAMOS Associate 1043827470 121887 English 9/13/2021 CHRISTERSO Marriage Spanish N, KELSEY A Family Therapist RAMOS Associate 1043827470 121887 English 9/13/2021 CHRISTERSO Marriage Spanish N, KELSEY A Family Therapist RIMER, Associate 1174049035 109846 English 9/13/2021 BLAINE G Marriage Family Therapist RIMER, Associate 1174049035 109846 English 9/13/2021 BLAINE G Marriage Family Therapist SALAZAR, Associate 1316493778 78946 English 9/13/2021 YARITZA M Clinical Social Spanish Worker

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YOUNG, Registered 1841411808 417311 English 9/13/2021 PATRICIA D Nurse Tagalog

COUNTY OF SAN DIEGO EAST CO EAST COUNTY CLINIC (A) East Open Yes Adult (18+) CASTANEDA, Mental Health 1275666828 English 9/13/2021 COUNTY MENTAL HEALTH CLINIC STEPHANIE Rehabilitation (ECMHC) Specialist DI MARTINO, Licensed 1518345099 108564 English 9/13/2021 1000 Broadway LINDSEY Marriage and El Cajon, CA, 92021 Family 619-401-5500 Therapist www.sandiegocounty. HEINEMAN, Licensed 1588873871 26915 English 9/13/2021 gov/hhsa/facilities/east/east_county_m FUKIKO M Clinical Social ental_ health_clinic.html Worker JIMENEZ, Registered 1932491511 776482 English 9/13/2021 NINA P Nurse Spanish

LAMOUREUX, Mental Health 1215399209 English 9/13/2021 SHANNON J Rehabilitation Specialist MCGAFFEE, Physician 1770631145 C170725 English 9/13/2021 DANA JOY

PACKER, Licensed 1275074379 4042 English 9/13/2021 RACHEL Professional Clinical Counselor PANBEHI, Physician 1518163609 C165357 English 9/13/2021 BAHRAM

PASTORES, Licensed 1609980234 94162 English 9/13/2021 GLEN F Marriage and Family Therapist ROBERTS, Licensed 1811121650 6430 English 9/13/2021 KISA D Professional Clinical Counselor SABORIO, Registered 1811018567 521008 English 9/13/2021 YVETTE D Nurse Spanish

SCOTT, Licensed 1740310127 18248 English 9/13/2021 JOANN L Clinical Social Worker ZUBIRI'A, Licensed 1962692285 489 English 9/13/2021 CARLA Professional Spanish Clinical Counselor

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CHRISTIAN, Associate 1194840785 87498 English 9/13/2021 VERNETTE E Marriage Spanish Family Therapist CRUMB, Licensed 1083972368 104758 English 9/13/2021 SANDRA M Marriage and Spanish Family Therapist DICE, ERIC Mental Health 1285176180 English 9/13/2021 Rehabilitation Spanish Specialist DUNN, SALLY Licensed 1811012552 31028 English 9/13/2021 E Marriage and Spanish Family Therapist FRENI Licensed 1639556418 7269 English 9/13/2021 STERRANTIN Professional O, CINZIA Clinical Counselor FULTON, Licensed 1649687450 87062 English 9/13/2021 JUANA Clinical Social Spanish Worker HUSSEIN, Registered 1295907244 717533 English 9/13/2021 JIBRIL Nurse

KRUSE, Other 1336758085 English 9/13/2021 DANIEL Qualitified Provider LAWSON, Licensed 1174783807 79104 English 9/13/2021 MEGAN Marriage and Family Therapist POMEROY, Licensed 1720426083 102430 English 9/13/2021 MICHELLE Marriage and Spanish Family Therapist PONZO, Mental Health 1356575989 English 9/13/2021 JOHN Rehabilitation Specialist SALANGSAN Licensed 1649439381 50799 English 9/13/2021 G, ROSARIO Marriage and Tagalog Family Therapist SCHAEFER, Other 1235748856 English 9/13/2021 LINDA Qualitified Provider SMERIK, Other 1790394245 English 9/13/2021 ELISA Qualitified Provider

Prepared By: Optum PS SD Page: 108 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

PENA, ABEL P Licensed 1285762831 47298 English 9/13/2021 Marriage and Spanish Family Therapist PERRIN, Licensed 1659408094 27426 English 9/13/2021 FRANCINE S Marriage and Spanish Family Therapist RAHMANKHA Licensed 1942523691 30875 English 9/13/2021 H, Psychologist SOUDABEH VIDANA, Licensed 1093156671 English 9/13/2021 MICHELLE Professional Clinical Counselor EPISCOPAL COMMUNITY Para Las Familias is a certified outpatient South Open Yes Young Children (0-5) BELTRAN, Licensed 1427190636 90538 English 9/13/2021 SERVICES PARA LAS FAMILIAS program that services children, ages 0-5 who ELADIA G Marriage and Spanish are full scope Medi-cal. Program's entirety Family 1424 30th St. Ste. A model is a FSP. Therapist San Diego, CA, 92154 CONTRERAS, Associate 1194320382 8407 English 9/13/2021 619-228-2800 ANDREA Professional Spanish Clinical www.ecscalifornia.org/ Counselor MANRIQUEZ- Licensed 1093042608 109278 English 9/13/2021 JIMENEZ, Marriage and Spanish LESLIE Family Therapist OLIVARRIA, Associate 1386168763 94745 English 9/13/2021 MARYSOL Marriage Spanish Family Therapist OLIVARRIA, Associate 1386168763 94745 English 9/13/2021 MARYSOL Marriage Spanish Family Therapist SIERRA, Licensed 1063608008 85713 English 9/13/2021 EDGAR Marriage and Spanish Family Therapist VASQUEZ- Associate 1205267184 79700 English 9/13/2021 MOTA, Clinical Social Spanish JOCELYN Worker VERDUZCO Associate 1285114801 8436 English 9/13/2021 MORENO, Professional Spanish JESUS ITZEL Clinical Counselor Prepared By: Optum PS SD Page: 109 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

JOHNSON, Nurse 1407865660 22980 English 9/13/2021 BRIAN D Practitioner

JONES, Physician 1912198409 G83514 English 9/13/2021 PAMELA J

MADEIRA, Associate 1780248609 97560 English 9/13/2021 GAVIN K Clinical Social Worker MAHL, Nurse 1326365529 NP19557 English 9/13/2021 HILLARY D Practitioner

MCELROY, Physician 1356768436 139436 English 9/13/2021 JUDE J

MONGE, Associate 1164716627 89786 English 9/13/2021 MONICA Marriage Spanish Family Therapist MOORE, Physician 1568611358 11045 English 9/13/2021 AMANDA J

QUEZADA, Licensed 1093143257 276498 English 9/13/2021 JOANNA L Vocational Spanish Nurse REYES, Nurse 1942741699 95006299 English 9/13/2021 DANIEL J Practitioner

ROMERO, Licensed 1851735401 77056 English 9/13/2021 ANGELA N Clinical Social Worker SORIANO, Nurse 1164641650 95006790 English 9/13/2021 DEOMEL M Practitioner Tagalog

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JOHNSON, Nurse 1407865660 22980 English 9/13/2021 BRIAN D Practitioner

JONES, Physician 1912198409 G83514 English 9/13/2021 PAMELA J

MADEIRA, Associate 1780248609 97560 English 9/13/2021 GAVIN K Clinical Social Worker MAHL, Nurse 1326365529 NP19557 English 9/13/2021 HILLARY D Practitioner

MCELROY, Physician 1356768436 139436 English 9/13/2021 JUDE J

MONGE, Associate 1164716627 89786 English 9/13/2021 MONICA Marriage Spanish Family Therapist MOORE, Physician 1568611358 11045 English 9/13/2021 AMANDA J

QUEZADA, Licensed 1093143257 276498 English 9/13/2021 JOANNA L Vocational Spanish Nurse

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TUCKER- Nurse 1730596768 95000475 English 9/13/2021 ASHTON, Practitioner SHIRLEY A VALADEZ, Licensed 1356898803 685505 English 9/13/2021 JACQUELYN Vocational A Nurse FAMILY HEALTH CENTERS OF SAN Outpatient specialty mental health services, East Open Yes Children (6-18) CARDENAS, Physician 1811212145 137940 English 9/13/2021 DIEGO INC. COMMUNITY CIRCLE individual/group/family therapy, rehabilitation, Transition Age Youth ALONSO Spanish crisis intervention, case management and (16-25) 3845 Spring Dr. enhanced services. DUNFORD, Associate 1437517497 105349 English 9/13/2021 Spring Valley, CA, 91977 KATELYN Marriage 619-515-2380 Family Therapist www.fhcsd.org GATTEY, Licensed 1487942488 112422 English 9/13/2021 JOEL Marriage and Family Therapist HUBER, Physician 1174960686 133711 English 9/13/2021 REBECCA R

OCHOA, Other 1134771249 English 9/13/2021 PAOLA Qualitified Spanish Provider REYES, Other 1477805018 English 9/13/2021 BLANCA Qualitified Spanish Provider REYNOSA, Associate 1124638713 119795 English 9/13/2021 TESSA Marriage Family Therapist

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KERI, JASON Physician 1811915812 82017 English 9/13/2021 S

RAINVILLE, Associate 1295235380 98793 English 9/13/2021 ANNA M Marriage Family Therapist TILLOTSON, Mental Health 1346368131 English 9/13/2021 LINDA Rehabilitation Tagalog Specialist MENTAL HEALTH SYSTEMS INC. Bio-Psychosocial Rehabilitation (BPSR) North Inland Open Yes Transition Age Youth BOARDWAY, Associate 1700388733 110105 English 9/13/2021 BPSR KINESIS NORTH WELLNESS services at Short-Doyle Medi-Cal certified (16-25) KATHRYN A Marriage RECOVERY CENTER outpatient mental health centers. Programs Adult (18+) Family provide outpatient mental health rehabilitation Older Adult (60+) Therapist 474 West Vermont Avenue, Suite 101 and recovery services, urgent walk-in, peer CARRASCO, Licensed 1144779851 269905 English 9/13/2021 Escondido, CA, 92025 support services, homeless outreach, case CONSUELO Vocational Spanish 760-480-2255 management linkage, and long-term vocational Nurse support for seriously mentally ill (SMI) clients www.mhsinc.org aged 18 and older, including those who may CASH, TAAKA Nurse 1114264199 English 9/13/2021 have a co-occurring substance use disorder. Practitioner

HOLMES, Associate 1417512146 6964 English 9/13/2021 TODD J Professional Spanish Clinical Counselor HOLMES, Associate 1417512146 6964 English 9/13/2021 TODD J Professional Spanish Clinical Counselor JORDAN, Registered 1174721906 423595 English 9/13/2021 ROSEANNA M Nurse

KERI, JASON Physician 1811915812 82017 English 9/13/2021 S

RAINVILLE, Associate 1295235380 98793 English 9/13/2021 ANNA M Marriage Family Therapist TILLOTSON, Mental Health 1346368131 English 9/13/2021 LINDA Rehabilitation Tagalog Specialist

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GONCALVES, Mental Health 1528348109 English 9/13/2021 JENNA M Rehabilitation Specialist KHALED, Associate 1336702232 119525 English 9/13/2021 NADIA Marriage Spanish Family Therapist LEE, EUNICE Other 1144830878 English 9/13/2021 Qualitified Korean Provider Mandarin

ZARINEBAF, Associate 1003341322 3725 English 9/13/2021 VIRGINIA T Professional Clinical Counselor MENTAL HEALTH SYSTEMS INC. Outpatient mental health rehabilitation and North Coastal Open Yes Transition Age Youth BARNICLE, Associate 1326530445 92235 English 9/13/2021 NORTH COASTAL MENTAL HEALTH recovery services, urgent walk-in, peer support (16-25) DANICA D Clinical Social CENTER services, homeless outreach, case Adult (18+) Worker management; and long-term vocational Older Adult (60+) BARNICLE, Associate 1326530445 92235 English 9/13/2021 1701 Mission Avenue, Suite 230 support for seriously mentally ill (SMI) clients DANICA D Clinical Social Oceanside, CA, 92058 aged 18 and older including those who may Worker 760-967-4475 have a co-occurring substance abuse disorder. BEAM, PAYAL Licensed 1073646329 24330 English 9/13/2021 www.mhsinc.org G Clinical Social Worker BECERRA, Other 1326652025 English 9/13/2021 OSCAR V Qualitified Spanish Provider BECERRA, Other 1326652025 English 9/13/2021 OSCAR V Qualitified Spanish Provider BECERRA, Other 1326652025 English 9/13/2021 OSCAR V Qualitified Spanish Provider CARRINGTON Associate 1528600194 92183 English 9/13/2021 , MARY E Clinical Social Worker CUOMO, Licensed 1275915654 94880 English 9/13/2021 MITCHELL Clinical Social Worker

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LESTER, Other 1366062853 English 9/13/2021 MEGAN N Qualitified Provider LESTER, Other 1366062853 English 9/13/2021 MEGAN N Qualitified Provider LESTER, Other 1366062853 English 9/13/2021 MEGAN N Qualitified Provider PATTERSON, Mental Health 1205386299 English 9/13/2021 LATOYA Rehabilitation Specialist RANDOLPH, Associate 1306143441 82188 English 9/13/2021 MARGO J Clinical Social Worker ROLDAN, Licensed 1407159916 243814 English 9/13/2021 TIANYA D Vocational Nurse ROSE, Physician 1033206552 G21963 English 9/13/2021 RICHARD S Spanish

ROSS, Physician 1316248420 A110756 English 9/13/2021 RACHEL

SANCHEZ, Licensed 1285052159 172067 English 9/13/2021 REYNA E Vocational Spanish Nurse SAUNDERS, Other 1457962342 English 9/13/2021 ANGELINA M Qualitified Provider SAUNDERS, Other 1457962342 English 9/13/2021 ANGELINA M Qualitified Provider SAUNDERS, Other 1457962342 English 9/13/2021 ANGELINA M Qualitified Provider SMALLWOOD, Licensed 1407066335 26575 English 9/13/2021 KAITLIN J Clinical Social Worker SOLIS, Licensed 1306316682 701010 English 9/13/2021 BREANNE D Vocational Nurse SOLIS, Licensed 1306316682 701010 English 9/13/2021 BREANNE D Vocational Nurse Prepared By: Optum PS SD Page: 115 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

FLANAGAN, Nurse 1396032975 19747 English 9/13/2021 CHANTAL Practitioner

GONZALES, Other 1013538628 English 9/13/2021 LAURA C Qualitified Provider GONZALES, Other 1013538628 English 9/13/2021 LAURA C Qualitified Provider HALL, Other 1114298825 English 9/13/2021 JEFFREY M Qualitified Provider HERNANDEZ, Mental Health 1760096507 English 9/13/2021 DEYANIRA D Rehabilitation Specialist HERNANDEZ, Mental Health 1760096507 English 9/13/2021 DEYANIRA D Rehabilitation Specialist JOHNSON, Other 1629690029 English 9/13/2021 PAUL A Qualitified Provider JOHNSON, Other 1629690029 English 9/13/2021 PAUL A Qualitified Provider JOHNSON, Other 1629690029 English 9/13/2021 PAUL A Qualitified Provider KERI, JASON Physician 1811915812 82017 English 9/13/2021 S

KLEIN, Physician 1366468548 77032 English 9/13/2021 MARTINA L

MAHAN, Licensed 1558554196 239951 English 9/13/2021 CELENA M Vocational Nurse MOUFARREG Licensed 1740789072 88988 English 9/13/2021 E, RITA M Clinical Social Worker

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PEREZ, Physician 1922428622 148494 Arabic 9/13/2021 NICHOLAS J English

ROMERO- Associate 1932398104 111630 English 9/13/2021 CABRAL, Marriage Spanish EDITH M Family Therapist STACKS, Associate 1669080925 119587 Arabic 9/13/2021 AMBER E Marriage English Family Therapist NEW ALTERNATIVES Behavioral health outpatient services and South Open Yes Children CURRAN, Other 1750929071 Arabic 9/13/2021 INCREDIBLE FAMILIES SOUTH other developmental appropriate clinical BRITTANY A Qualitified English MHSA interventions to children and their families that Provider Spanish are Dependents of the Juvenile Courts hence 730 MEDICAL CENTER CT involved with Child Welfare Services (CWS). FAULK, MAYA Associate 1215390844 106439 English 9/13/2021 CHULA VISTA, CA, 91911 E Marriage 619-207-0396 Family http:// Therapist www.vistahill.org GONZALES, Associate 1881068096 90097 Arabic 9/13/2021 ELIZABETH Marriage English Family Spanish Therapist KIRKER, Associate 1619474301 109964 Arabic 9/13/2021 ANDREW T Marriage English Family Therapist

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ROMERO- Associate 1932398104 111630 English 9/13/2021 CABRAL, Marriage Spanish EDITH M Family Therapist STACKS, Associate 1669080925 119587 Arabic 9/13/2021 AMBER E Marriage English Family Therapist

Prepared By: Optum PS SD Page: 118 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

SERRANO, Licensed 1497094163 106791 English 9/13/2021 MONICA A Marriage and Spanish Family Therapist TUBBS, Licensed 1598064412 43731 English 9/13/2021 CHARIS L Marriage and Family Therapist VLASIS, Associate 1932711918 109844 English 9/13/2021 CHRISTINA D Marriage Family Therapist NEW ALTERNATIVES INC.NA PCC Provide short-term outpatient services to Countywide Open Yes Young Children (0-5) BILBREY, Mental Health 1164876140 98196 English 9/13/2021 (POLINSKY CHILDREN'S CENTER) children placed by Child Welfare Services. Children (6-18) ARTHUR Rehabilitation Spanish Operate certified outpatient behavior health Specialist 9400 Ruffin Ct program and provide a full range of Title 9 BOBROW, Physician 1295767622 G77638 English 9/13/2021 San Diego, CA, 92123 services. DAVID 858-357-6978

www.centerforchildren.org/resources/n CABRAL, Mental Health 1528658929 123830 English 9/13/2021 ew-alternatives-therapeutic- ROSA Rehabilitation behavioral-services-tbs/ Specialist HORNER , Mental Health 1750966073 English 9/13/2021 MARIEL Rehabilitation Specialist PALMENOSE Licensed 1538340724 52997 English 9/13/2021 RRANO, Marriage and Spanish ZENIA Family Therapist

Prepared By: Optum PS SD Page: 119 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

ROMERO- Associate 1932398104 111630 English 9/13/2021 CABRAL, Marriage Spanish EDITH M Family Therapist STACKS, Associate 1669080925 119587 Arabic 9/13/2021 AMBER E Marriage English Family Therapist NORTH COUNTY LIFELINE INC. Outpatient specialty mental health services, North Coastal Open Yes Children (6-18) ALLISON, Other 1679963748 English 9/13/2021 NORTH COASTAL - FAMILY individual/group/family therapy, rehabilitation, BREONA Qualitified COUNSELING crisis intervention, case management and Provider enhanced services. ARREDONDO, Associate 1447876495 7740 English 9/13/2021 200 Michigan Ave ADILENE Professional Spanish Vista, CA, 92084 Clinical 760-726-4900 Counselor www.nclifeline.org/mental-health- ARREGUIN, Other 1528507563 English 9/13/2021 counseling VERONICA N Qualitified Spanish Provider American Sign Language FRANCISCO, Associate 1174009674 102908 English 9/13/2021 PATRICIA Marriage Spanish Family Therapist HOFF, Associate 1669914883 107540 Arabic 9/13/2021 MEGAN E Marriage English Family Therapist HOLDER, Associate 1598220725 109138 Arabic 9/13/2021 CHRISTA C Marriage English Family Therapist LARSON, Physician 1821227554 114315 Arabic 9/13/2021 JANNA A English

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ROCHA, Associate 1013379544 103051 English 9/13/2021 CARISSA N Marriage Family Therapist THEIS, Associate 1649757345 107570 Arabic 9/13/2021 ALYSSA M Marriage English Family Therapist TUROV, Licensed 1487779344 47916 Arabic 9/13/2021 JOSHUA N Marriage and English Family Therapist PALOMAR FAMILY COUNSELING Outpatient specialty mental health services, North Inland Open Yes Children (6-18) ERICKSON, Licensed 1386193316 114651 English 9/13/2021 SERVICES INC. FALLBROOK- individual/group/family therapy, rehabilitation, Transition Age Youth JODI M Marriage and FAMILY COUNSELING crisis intervention, case management and (16-25) Family enhanced services. Therapist 120 West Hawthorne Street GILDIN, JOAN Physician 1396847299 40268 English 9/13/2021 Fallbrook, CA, 92028 S 760-731-3235

www.palomarfamilycounseling.com/ GREEN, Licensed 1366973760 120593 English 9/13/2021 JUANDA L Marriage and Family Therapist LOPEZ, Other 1467913277 English 9/13/2021 DIANA E Qualitified Spanish Provider MORENO, Mental Health 1386885788 English 9/13/2021 GRACIELA Rehabilitation Spanish Specialist

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GORDON, Licensed 1477043115 102171 English 9/13/2021 ROBERT D Marriage and Family Therapist GUZMAN, Other 1831780501 English 9/13/2021 JAIME Qualitified Spanish Provider GUZMAN- Licensed 1245726488 83923 English 9/13/2021 WILEY, ANA I Clinical Social Spanish Worker JAQUES, Associate 1265063671 7407 English 9/13/2021 SARA L Professional Clinical Counselor KRUMHOLZ, Associate 1982952628 116604 English 9/13/2021 DENISE Marriage Spanish Family Therapist KRUVI, Licensed 1568777464 53899 English 9/13/2021 SHARON Marriage and Family Therapist PATEL, ANIL Physician 1164462164 A46378 Arabic 9/13/2021 S English

RUBIO, ANNE Associate 1861975146 108529 English 9/13/2021 M Marriage Family Therapist VELASQUEZ, Other 1518318088 English 9/13/2021 ROSA Qualitified Spanish Provider

Prepared By: Optum PS SD Page: 122 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL PATHWAYS COMMUNITY Pathways Community Services-Cornerstone is Central Open Yes Children (6-18) CLAYTON, Associate 1629434766 85210 English 9/13/2021 HEALTH SERVICES, COMMUNITY a Full Service Partnership(FSP) program that Transition Age Youth NOELE Marriage Spanish OUTPATIENT/ SERVICES - CORNERSTONE provides school-based & outpatient behavioral (16- 25) Family REHABILITATI health services for MediCal-eligible & Adult (18+) Therapist ON 6244 El Cajon Blvd, Suite 14 unfunded children & adolescents.Cornerstone ELIZONDO, Associate 1083278220 110249 English 9/13/2021 San Diego, CA, 92115 is located in the College Area of San Diego, in AMANDA Marriage Spanish 619-640-3266 the Campus Medical, Dental & Professional Family Center on El Cajon Blvd.Currently partnered Therapist www.pathways.com with 14 area schools within the San Diego & provides services at these school sites in HERRERA, Associate 1124547351 79068 English 9/13/2021 addition to home & clinic based services ABEL A Clinical Social Spanish Worker IBARRA, Other 1073993853 English 9/13/2021 JAMES Qualitified Spanish Provider LANDING, Associate 1679972459 70975 English 9/13/2021 RAUNA M Clinical Social Worker MARQUEZ, Licensed 1316188709 53516 English 9/13/2021 MAREEH C Marriage and Spanish Family Tagalog Therapist SANTIAGO, Other 1588107023 English 9/13/2021 ALMA Qualitified Spanish Provider TORRES, Associate 1306291729 85840 English 9/13/2021 DAVID Clinical Social Spanish Worker RADY CHILDREN'S HOSPITAL OF Outpatient mental health services treatment Countywide Open Yes Young Children (0-5) BIAL, Licensed 1114025269 22026 English 9/13/2021 SAN DIEGO KIDSTART CENTER for children and youth experiencing atypical VIRGINIA Clinical Social EPSDT CLINIC development and behavior and their families Worker and caregivers. Referrals to this program are BRAR, Physician 1417393307 144765 English 9/13/2021 3665 Kearny Villa Rd Suite 500 made primarily by the KidSTART Center SIMERJEET K San Diego, CA, 92123 858-576-1700 Ext.5803 CADENAS, Other 1982161600 English 9/13/2021 www.rchsd.org/progra ms- MARIA R Qualitified Spanish services/kidstart Provider CURTIS- Licensed 1649616376 98485 English 9/13/2021 HUGHES, Marriage and KELLY V Family Therapist EBERLY, Licensed 1134502834 82625 English 9/13/2021 KRISTEN L Clinical Social Worker KNIGHT, Licensed 1003110396 87278 English 9/13/2021 MARGARET Marriage and Spanish Family Therapist MCNALLY, Other 1740759091 English 9/13/2021 CLAIRE E Qualitified Provider NEFF, LESLIE Other 1336359181 English 9/13/2021 I Qualitified Spanish Provider RAZOOKY, Other 1508475823 English 9/13/2021 RANYA M Qualitified Provider RUIZ, BIANCA Other 1629522917 English 9/13/2021 R Qualitified Spanish Provider SALAZAR, Associate 1801293261 77683 English 9/13/2021 LILIANA Clinical Social Spanish Worker SYLVESTER, Licensed 1861834590 80826 English 9/13/2021 KRISTEN Clinical Social Spanish Worker

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GONZALEZ, Licensed 1467883082 104665 English 9/13/2021 ELENA P G Marriage and Spanish Family Therapist HOWARD, Licensed 1871841361 74977 English 9/13/2021 MAE MADGE Clinical Social Spanish MERETTE M Worker Tagalog

JIMENEZ, Licensed 1932396793 77368 English 9/13/2021 INGRID Marriage and Spanish Family Therapist LOPEZ, Associate 1023361227 116313 English 9/13/2021 MARITZA R Marriage Spanish Family Therapist MOLINA, Associate 1417217035 116269 English 9/13/2021 VANESSA Marriage Spanish Family Therapist MORRISON, Physician 1912391814 144917 English 9/13/2021 TYLER E

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ZONA, EMILY Associate 1457876146 122911 English 9/13/2021 E Marriage Spanish Family Therapist RADY CHILDREN'S HOSPITAL OF Outpatient specialty mental health services, North Inland Open Yes Children (6-18) AGCAYAB, Licensed 1841321932 32750 English 9/13/2021 SAN DIEGO OUTPATIENT individual/group/family therapy, rehabilitation, Transition Age Youth VIRGINIA Marriage and PSYCHIATRY- NORTH INLAND crisis intervention, case management and (16-25) Family enhanced services. Therapist 625 W Citracado Pkwy Ste 102 ALAVI, ALI Physician 1356856694 163793 English 9/13/2021 Escondido, CA, 92025 760-294-9270

www.rchsd.org/programs- ALLEN, JULIA Licensed 1841616299 82455 English 9/13/2021 services/behavioral-health-2/ B Clinical Social Worker ANELLO, Licensed 1912240318 100350 English 9/13/2021 MARGARET D Marriage and Spanish Family Therapist ARMENTA, Associate 1811491772 116460 English 9/13/2021 MARLENE I Marriage Spanish Family Therapist BRAR, Physician 1417393307 144765 English 9/13/2021 SIMERJEET K

CAMP, Associate 1649819996 102260 English 9/13/2021 KATELYN Marriage Family Therapist CISNEROS, Associate 1558866913 116804 English 9/13/2021 AMANDA E Marriage Family Therapist CODALLOS, Associate 1487000162 102913 English 9/13/2021 BRIANNA M Marriage Spanish Family Therapist CRANDAL, Licensed 1588739452 26294 English 9/13/2021 BRENT R Psychologist

DEFRAIN, Associate 1477074268 109978 English 9/13/2021 MAX K Marriage Family Therapist DIGAUDIO, Licensed 1770759243 52862 English 9/13/2021 ZULMA Marriage and Spanish Family Therapist DUNN, Other 1346652336 English 9/13/2021 BLANCA Qualitified Spanish Provider ESPIRITU, Licensed 1922456029 118391 English 9/13/2021 JULIUS T Marriage and Family Therapist

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GONZALEZ, Licensed 1467883082 104665 English 9/13/2021 ELENA P G Marriage and Spanish Family Therapist HERNANDEZ, Licensed 1700918893 48147 English 9/13/2021 GRISELDA Marriage and Spanish Family Therapist HIGUERA, Other 1225652134 English 9/13/2021 MARIEL Qualitified Spanish Provider HOWARD, Licensed 1871841361 74977 English 9/13/2021 MAE MADGE Clinical Social Spanish MERETTE M Worker IRIGARAY, Associate 1407388457 108673 English 9/13/2021 MARIA C Marriage Spanish Family Therapist JIMENEZ, Licensed 1932396793 77368 English 9/13/2021 INGRID Marriage and Spanish Family Therapist KAPPER, Associate 1801349014 83489 English 9/13/2021 VICTORIA B Clinical Social Worker LAVI, Physician 1316470941 169525 English 9/13/2021 JONATHAN

LIDSTONE, Physician 1942662093 161149 English 9/13/2021 PAVEN K

LOPEZ, Associate 1023361227 116313 English 9/13/2021 MARITZA R Marriage Spanish Family Therapist MARQUEZ, Other 1528682507 English 9/13/2021 BECKY Qualitified Spanish Provider MCCULLOUG Licensed 1639515307 80807 English 9/13/2021 H, KELLY C Clinical Social Spanish Worker MOLINA, Associate 1417217035 116269 English 9/13/2021 VANESSA Marriage Spanish Family Therapist MOORE, Physician 1053682773 152789 English 9/13/2021 SHAVON C

MORRISON, Physician 1912391814 144917 English 9/13/2021 TYLER E

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TAYLOR, Other 1073139739 English 9/13/2021 CHRIS G Qualitified Provider THOMASON, Licensed 1740551407 51786 English 9/13/2021 EMMETT Marriage and Family Therapist TRAMELL, Physician 1063594687 A85828 English 9/13/2021 MICHAEL S

WALDRON, Licensed 1659529659 29313 English 9/13/2021 TYLER T Clinical Social Worker WILLIAMS, Licensed 1033316005 22387 English 9/13/2021 KATHERINE N Psychologist Vietnamese

ZONA, EMILY Associate 1457876146 122911 English 9/13/2021 E Marriage Family Therapist RADY CHILDREN'S HOSPITAL OF FSP MHSA outpatient school and clinic based Central,North Open Yes Children (6-18) ALAVI, ALI Physician 1356856694 163793 English 9/13/2021 SAN DIEGO RCHSD CENTRAL mental health services for SED children & Central Transition Age Youth CLINIC youth, Outpatient therapy, Individual –Group (16- 25) and Family therapy, Case management, Adult (18+) ALLEN, JULIA Licensed 1841616299 82455 English 9/13/2021 3665 Kearny Villa Rd#101 Family partners, Pathways to Well-Being- B Clinical Social San Diego, CA, 92123 intensive care coordination, School based Worker 858-966-5832 therapy, Medication services, A&D Counselors ANAYA, Associate 1992235972 109929 English 9/13/2021 www.rchsd.org GUADALUPE Marriage Spanish G Family Therapist ANGUIANO, Associate 1154812055 117370 English 9/13/2021 MARIA Marriage Spanish Family Therapist CHAN, Other 1578044012 English 9/13/2021 NEILSON Qualitified Provider CHU, Physician 1154783348 160428 English 9/13/2021 MICHAEL M Other Chinese

CONNOR, Physician 1871772129 A102033 English 9/13/2021 WILLARD W Spanish

DIGAUDIO, Licensed 1770759243 52862 English 9/13/2021 ZULMA Marriage and Spanish Family Therapist GOMEZ, Mental Health 1649723057 English 9/13/2021 ALEJANDRA Rehabilitation Spanish Specialist HALL, Other 1295330090 100069 English 9/13/2021 SAMANTHA Qualitified Provider

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MENTAL RADY CHILDREN'S HOSPITAL OF FSP MHSA outpatient school and clinic based Central,North Open Yes Children (6-18) HOWARD, Licensed 1871841361 74977 English 9/13/2021 HEALTH SAN DIEGO RCHSD CENTRAL mental health services for SED children & Central Transition Age Youth MAE MADGE Clinical Social Spanish OUTPATIENT/ CLINIC youth, Outpatient therapy, Individual –Group (16- 25) MERETTE M Worker Tagalog REHABILITATI and Family therapy, Case management, Adult (18+) ON 3665 Kearny Villa Rd#101 Family partners, Pathways to Well-Being- KAPPER, Licensed 1801349014 100449 English 9/13/2021 San Diego, CA, 92123 intensive care coordination, School based VICTORIA B Clinical Social 858-966-5832 therapy, Medication services, A&D Counselors Worker www.rchsd.org KELSEY, Physician 1376078006 A-166599 English 9/13/2021 STEVENS

LAVI, Physician 1316470941 169525 English 9/13/2021 JONATHAN

LIDSTONE, Physician 1942662093 161149 English 9/13/2021 PAVEN K

MARTINEZ, Other 1124642020 English 9/13/2021 KASSANDRA Qualitified Spanish Provider MCCULLOUG Licensed 1639515307 80807 English 9/13/2021 H, KELLY C Clinical Social Worker MEJIA, Other 1982119293 English 9/13/2021 YESENIA C Qualitified Spanish Provider MENDOZA, Associate 1609460872 98241 English 9/13/2021 WENDY Clinical Social Spanish Worker MOORE, Physician 1053682773 152789 English 9/13/2021 SHAVON C

MORELLI, Other 1477177350 English 9/13/2021 NICHOLAS M Qualitified Provider MORRISON, Physician 1912391814 144917 English 9/13/2021 TYLER E

NAVAS, Licensed 1750720967 112060 English 9/13/2021 CHRISTOPHE Marriage and Spanish R A Family Therapist OCHOA Licensed 1952573479 27994 English 9/13/2021 LEWIS, Clinical Social Spanish ANJELICA Worker OMORODION, Physician 1629500301 169651 English 9/13/2021 AISHA

PORRAS, Associate 1982257416 115005 English 9/13/2021 VANESSA Marriage Spanish Family Therapist SCHOEN, Other 1720618200 English 9/13/2021 LARA M Qualitified Provider SIDHU, Physician 1033344429 A113606 English 9/13/2021 SHAWN S

TRAN, KIM Associate 1801448014 123911 English 9/13/2021 Marriage Vietnamese Family Therapist WASKO, Other 1184235202 English 9/13/2021 TAYLOR G Qualitified Provider WILLIAMS, Licensed 1033316005 22387 English 9/13/2021 KATHERINE N Psychologist Vietnamese

WOLFF, Associate 1104319896 117452 English 9/13/2021 KARLA Marriage Spanish Family Therapist Prepared By: Optum PS SD Page: 128 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

MULLER, Licensed 1902380629 123295 English 9/13/2021 CLAIRE M Marriage and Family Therapist MURRAY, Associate 1609242247 100617 English 9/13/2021 PATRICK R Marriage Family Therapist PATTERSON, Associate 1427519172 119991 English 9/13/2021 HELEN R Marriage Family Therapist PEREZ, Associate 1811489107 5310 English 9/13/2021 KAREN Professional Spanish Clinical Counselor PORTILLO, Licensed 1518390558 98912 English 9/13/2021 BEVERLY Marriage and Family Therapist ROCCANOVA, Other 1770195091 English 9/13/2021 JULIA Qualitified Provider YERIC, Associate 1457841470 114762 English 9/13/2021 ANDREA J Marriage Family Therapist SAN DIEGO CENTER FOR Provide a full range of Title 9 outpatient Countywide Open Yes Young Children (0-5) ACEVEDO, Other 1376069138 English 9/13/2021 CHILDREN SDCC FFAST diagnostic and treatment services for children Children (6-18) STEPHANIE Qualitified and youth who required specialty mental Provider 8825 Aero DriveSuite 110 health services and are full scope Medi-Cal BAHADUR, Physician 1720169592 A81427 English 9/13/2021 San Diego, CA, 92123 beneficiaries or eligible through the Mental NEHA 858-277-9550 Health Services Act (MHSA), who reside in County of San Diego (COSD) Foster Family www.centerforchildren. org (FFA) homes.

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SAN DIEGO UNIFIED SCHOOL Outpatient therapy, Individual –Group and Central,North Open Yes Young Children (0-5) COMPAGNON Physician 1447561287 122294 English 9/13/2021 DISTRICT SDUSD - SCHOOL Family therapy, Case management, Family Central Children (6-18) E, MARIANA Spanish BASED INTENSIVE OUTPATIENT partners, Pathways to Well-Being- intensive Adolescent (12- 17) SERVICES care coordination, School based therapy, Transition Age Youth DAM, Associate 1851415889 83065 English 9/13/2021 Medication services (16-25) THOMAS W Marriage 2351 Cardinal Lane, Annex B Family San Diego, CA, 92123 Therapist 858-573-2227 LOO, Licensed 1790817310 42821 English 9/13/2021 www.sandiegounified.org ADRIANA Marriage and Spanish Family Therapist MARTINEZ, Licensed 1356647416 87263 English 9/13/2021 LETICIA N Marriage and Spanish Family Therapist

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL SAN DIEGO UNIFIED SCHOOL Outpatient therapy, Individual –Group and Central,North Open Yes Young Children (0-5) MURGA, Associate 1932695038 107372 English 9/13/2021 HEALTH DISTRICT SDUSD - SCHOOL Family therapy, Case management, Family Central Children (6-18) ELVIA Marriage Spanish OUTPATIENT/ BASED INTENSIVE OUTPATIENT partners, Pathways to Well-Being- intensive Adolescent (12- 17) Family REHABILITATI SERVICES care coordination, School based therapy, Transition Age Youth Therapist ON Medication services (16-25) PENA, NANCY Licensed 1639365265 53655 English 9/13/2021 2351 Cardinal Lane, Annex B F Marriage and Spanish San Diego, CA, 92123 Family 858-573-2227 Therapist www.sandiegounified.org PEREZ, Other 1891308623 English 9/13/2021 VICTORIA Qualitified Spanish Provider PONCE, Associate 1043511843 90990 English 9/13/2021 LILIANA Clinical Social Spanish Worker RAMIREZ, Associate 1306104542 103203 English 9/13/2021 CARLA Y Marriage Spanish Family Therapist SAN DIEGO UNIFIED SCHOOL Certified Early and Periodic Screening, Countywide Open Yes Young Children (0-5) AGUAYO, Mental Health 1609905181 English 9/13/2021 DISTRICT SDUSD RILEY DAY Diagnosis, and Treatment integrated mental Children (6-18) FRANCES Rehabilitation SCHOOL SERVICES health children adolescent day rehabilitation Specialist services. Contractor shall provide a full day ALLEN, MIKE Mental Health 1295239556 English 9/13/2021 5650 Mt. Ackerly rehabilitation program inclusive of case Rehabilitation San Diego, CA, 92111 management and transitional services so the Specialist 858-496-8205 students can be quickly returned to the school district of residency. AUGUSTINE , Mental Health 1811493182 English 9/13/2021 www.sandiegounified.org/ JOSEPH Rehabilitation Specialist BONNETT, Mental Health 1912030800 English 9/13/2021 RALPH R Rehabilitation Spanish Specialist COLEMAN, Mental Health 1982108213 English 9/13/2021 ANDRE Rehabilitation Specialist CUYJET, Mental Health 1982100244 English 9/13/2021 KELLY Rehabilitation Specialist DEWAN, Licensed 1609291491 34062 English 9/13/2021 LAURA Marriage and Family Therapist FABIAN, Mental Health 1801393269 English 9/13/2021 TAYLOR Rehabilitation Specialist FIGGE, Mental Health 1063939049 English 9/13/2021 MARIA Rehabilitation Specialist HATFIELD, Mental Health 1710016274 English 9/13/2021 CALEB Rehabilitation Specialist HILL, Mental Health 1689166449 English 9/13/2021 TAMECO Rehabilitation Specialist JENNINGS, Mental Health 1942331624 English 9/13/2021 SHANA Rehabilitation Specialist KIMBROUGH , Mental Health 1194283473 English 9/13/2021 JOHN Rehabilitation Specialist KLEIN, Mental Health 1891215398 English 9/13/2021 TIFFANY Rehabilitation Specialist KOLODZIEJ, Licensed 1285700336 43472 English 9/13/2021 MICHAEL Marriage and Family Therapist

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SIMPSON, Licensed 1023555323 81412 English 9/13/2021 JERMAINE R Marriage and Family Therapist SMITH, Mental Health 1972021780 English 9/13/2021 BRACY Rehabilitation Specialist STEVENS, Mental Health 1144353814 English 9/13/2021 LONNELL Rehabilitation Specialist STROUD, Licensed 1336287176 50160 English 9/13/2021 AARON Marriage and Family Therapist TAYLOR, Mental Health 1679603104 English 9/13/2021 CARY Rehabilitation Specialist

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL SAN DIEGO YOUTH SERVICES Outpatient specialty mental health services, East Open Yes Children (6-18) BRAMPTON, Physician 1487964755 119619 English 9/13/2021 HEALTH EAST COUNTY BEHAVIORAL individual/group/family therapy, rehabilitation, Transition Age Youth RICKI-LEIGH OUTPATIENT/ HEALTH CLINIC crisis intervention, case management and (16-25) L REHABILITATI enhanced services. GARCIA, Associate 1891170742 103180 English 9/13/2021 ON 1870 Cordell Ct. Suite 101 LIDIA Marriage Spanish El Cajon, CA, 92020 Family 619-448-9700 Therapist www.sdyouthservices.org/ GUTTMAN, Associate 1194325985 119636 English 9/13/2021 ANDREA Marriage Family Therapist HARRIS, Licensed 1518309087 114798 English 9/13/2021 CALEB Marriage and Family Therapist MARLOW, Associate 1215548946 109962 English 9/13/2021 KYLE Marriage Family Therapist MONTES, Other 1487095758 English 9/13/2021 ANGELICA Qualitified Spanish Provider PENA- Associate 1841823747 90741 English 9/13/2021 OFFERDAHL, Clinical Social Spanish ANDREA N Worker SAN DIEGO YOUTH SERVICES I Individual/group/family services provided at Countywide Open Yes Young Children (0-5) BRAMPTON, Physician 1487964755 119619 English 9/13/2021 CARE (CSEC) schools, home, drop-in center or office/clinic Children (6-18) RICKI-LEIGH location. Utilizing a team approach that when L 3660 Fairmount Ave. indicated offers case management, family or ESCOBEDO, Associate 1245899962 90863 English 9/13/2021 San Diego, CA, 92105 youth partner support, and/or co-occurring FABIAN Clinical Social Spanish 619-521-2250 ext3816 substance treatment. Supportive services at 1 Worker drop-in center www.sdyouthservices.org HEBERT, Associate 1467927855 7270 English 9/13/2021 PRISCILLA Professional Clinical Counselor SAN DIEGO YOUTH SERVICES Individual/group/family services provided at Countywide Open Yes Young Children (0-5) ANDERSON, Associate 1205351871 92805 English 9/13/2021 OUR SAFE PLACE (LGBTQ) schools, home, drop-in center or office/clinic Children (6-18) MADELEINE Clinical Social location. Utilizing a team approach that when Adolescent (12-17) Worker 3427 4th Avenue indicated offers case management, family or BRAMPTON, Physician 1487964755 119619 English 9/13/2021 San Diego, CA, 92103 youth partner support, and/or co-occurring RICKI-LEIGH 619-521-2250 ext.3816 substance treatment. Supportive services at 4 L drop-in centers. www.sdyouthservices. org LLAMAS, Associate 1982252490 122924 English 9/13/2021 MOLLY N Marriage Spanish Family Therapist MARANIA, Licensed 1740738293 94299 English 9/13/2021 DOMINIC J Marriage and Family Therapist WALKER, Licensed 1063546448 51352 English 9/13/2021 MELANIE M Marriage and Family Therapist SAN DIEGO YOUTH SERVICES Outpatient specialty mental health services, Countywide Open Yes Children (6-18) BRAMPTON, Physician 1487964755 119619 English 9/13/2021 SDYS - COUNSELING COVE individual/group/family therapy, rehabilitation, Transition Age Youth RICKI-LEIGH crisis intervention, case management and (16- 25) L 3427 Fourth Avenue, 2nd Floor enhanced services. Adult (18+) EGUSQUIZA, Associate 1396224945 107547 English 9/13/2021 San Diego, CA, 92103 RANIE J Marriage 619-525-9903 Family Therapist www.sdyouthservices.org ISAAC, Licensed 1073763629 88764 English 9/13/2021 CHRISTOPHE Marriage and Spanish R A Family Therapist

Prepared By: Optum PS SD Page: 133 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL SAN DIEGO YOUTH SERVICES Outpatient specialty mental health services, Countywide Open Yes Children (6-18) NUNEZ, Other 1710347877 English 9/13/2021 HEALTH SDYS - COUNSELING COVE individual/group/family therapy, rehabilitation, Transition Age Youth GABRIELA Qualitified Spanish OUTPATIENT/ crisis intervention, case management and (16- 25) Provider REHABILITATI 3427 Fourth Avenue, 2nd Floor enhanced services. Adult (18+) OLALLA, Licensed 1154471019 50563 English 9/13/2021 ON San Diego, CA, 92103 ADRIANA Marriage and Spanish 619-525-9903 Family Therapist www.sdyouthservices.org SAFFE, Associate 1669958203 7076 English 9/13/2021 KAYLIN D Professional Spanish Clinical Counselor VILLEGAS, Other 1609230655 English 9/13/2021 RUSTBELT Qualitified Spanish Provider SAN YSIDRO HEALTH CENTER INC. School-Based Behavioral Health Group Youth South Open Yes Young Children (0-5) ALVAREZ, Licensed 1174683189 105698 English 9/13/2021 YOUTH ENHANCEMENT SERVICES Enhancement Svcs (YES) (AD Counselors) - Children (6-18) IRAIDA Marriage and Spanish (FSP) Family 3025 Beyer Blvd., Suite E-101 Therapist San Diego, CA, 92154 GOMEZ- Physician 1053324541 55544 English 9/13/2021 619-662-4100 NARANJO, Spanish PATRICIA A www.syhc.org/ HERNANDEZ, Licensed 1982821179 51787 English 9/13/2021 SILVIA E Marriage and Spanish Family Therapist IBANEZ, Associate 1972021152 89362 English 9/13/2021 SERGIO A Clinical Social Spanish Worker SUAREZ, Licensed 1386785160 25098 English 9/13/2021 ROBERTO Marriage and Spanish Family Therapist VALENZUELA, Associate 1063039543 117554 English 9/13/2021 JULIO Marriage Spanish Family Therapist VELEZ, Mental Health 1255961124 English 9/13/2021 BRENDA Rehabilitation Spanish Specialist SOCIAL ADVOCATES FOR YOUTH Provides outpatient diagnostic and treatment Central Open Yes Children (6-18) FILOMENO, Associate 1346842580 82416 English 9/13/2021 (SAY) SAN DIEGO INC. SAY services for children, adolescents, and young Transition Age Youth DULCE Clinical Social Spanish SCHOOL BASED PROGRAM - adults and their families who are low income or (16- 25) Worker CENTRAL uninsured, full-scope Medi-Cal beneficiaries or Adult (18+) eligible for services through the mental Health 4275 El Cajon Blvd, Suite 101 Services Act (MHSA).Services include San Diego, CA, 92105 individual/group/family treatment, case 619-283-9624 management/rehabilitative services, crisis intervention, medication management, www.saysandiego.org outreach at schools and in the community. SOUTH BAY COMMUNITY School based delivery of culturally sensitive South Open Yes Children (6-18) AGUAYO, Associate 1528696747 116411 English 9/13/2021 SERVICES OUTPATIENT CLINIC community based behavioral health services, Adolescent (12-17) LUISIANA Marriage Spanish prevention and early intervention designed to Family 2001 Rimbey Ave support improved social-emotional learning, Therapist San Diego, CA, 92154 behavior, and academic motivation for CENTENO, Licensed 1932230661 53734 English 9/13/2021 619-420-3620 students through a safe and accessible VALERIE G Marriage and https://southbaycommunityservices.or environment. Family g/ Therapist JIMENEZ, Associate 1568023596 113166 English 9/13/2021 NANCY Marriage Spanish Family Therapist LAGUITAN, Other 1861090797 English 9/13/2021 YVETTE Qualitified Provider

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RENDON, Licensed 1568658789 82971 English 9/13/2021 HERMILA Marriage and Spanish Family Therapist ROGERS, Associate 1366002917 114854 English 9/13/2021 MEGAN Marriage Family Therapist SEGOVIA, Associate 1356717045 82198 English 9/13/2021 YESENIA D Clinical Social Spanish Worker SORIA, Associate 1144672718 109892 English 9/13/2021 BRENNA Marriage Family Therapist ZIMMERMAN, Associate 1225513559 8569 English 9/13/2021 HANNAH Professional Clinical Counselor

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ROGERS, Associate 1366002917 114854 English 9/13/2021 MEGAN Marriage Family Therapist SURVIVORS OF TORTURE Outpatient mental health services to adult and Countywide Open Yes All Ages ALAMI-RAD, Licensed 1962588921 19728 English 9/13/2021 INTERNATIONAL SURVIVORS OF older adult victims of trauma and torture who MAHVASH Psychologist TORTURE INTERNATIONAL are severely mentally ill and children who suffer from a severe emotional disturbance, ALAMI-RAD, Licensed 1962588921 19728 English 9/13/2021 PO Box 151240, countywide. MAHVASH Psychologist San Diego, CA 92175 619-278-2400 BURPEE, Nurse 1356682306 95010539 English 9/13/2021 ELENA M Practitioner www.notorture.org/ CESARZ, Physician 1962999698 165182 English 9/13/2021 ALISON M Spanish

FLORES, Mental Health 1881283851 English 9/13/2021 VIOLETA Rehabilitation Spanish Specialist GARCIA, Other 1316473655 English 9/13/2021 WINONA G Qualitified Provider LOVELL, Mental Health 1578044517 English 9/13/2021 NANCE Rehabilitation Specialist MOORE, Physician 1053682773 152789 English 9/13/2021 SHAVON C

OJHA, PRITI Physician 1760897284 139807 English 9/13/2021

SERAFIN, Mental Health 1114544921 English 9/13/2021 HEATHER J Rehabilitation Spanish Specialist YONG, RUTH Other 1043702533 English 9/13/2021 Qualitified Provider

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OJHA, PRITI Physician 1760897284 139807 English 9/13/2021

SERAFIN, Mental Health 1114544921 English 9/13/2021 HEATHER J Rehabilitation Spanish Specialist SWEETWATER UNION HIGH To provide Early and Periodic Screening, South Open Yes Young Children (0-5) BUSTILLOS, Licensed 1972830438 69203 English 9/13/2021 SCHOOL DISTRICT OUTPATIENT Diagnosis, and Treatment (EPSDT) clinical Children (6-18) VICTORIA L Clinical Social Spanish CLINIC mental health outpatient program for Transition Age Youth Worker Seriously Emotionally Disturbed (SED) (16-25) CAMACHO, Licensed 1366971582 116575 English 9/13/2021 1051 Picador Blvd. children and youth at designated school sites. ERNESTO A Marriage and Spanish San Diego, CA, 92154 Provide a full range of Title 9 outpatient Family 619-662-8372 diagnostic and treatment services for children, Therapist adolescents, and young adults (up to age 21), www.sweetwaterschools.org hereafter known as clients, and their families CASTLEBERR Licensed 1053706853 95022 English 9/13/2021 who are full scope Medi-Cal beneficiaries. Y, DANI E Clinical Social Spanish Worker GUZMAN, Associate 1851959365 114583 English 9/13/2021 JANETH M Marriage Spanish Family Therapist QUINN, Associate 1124503453 109561 English 9/13/2021 REBECCA A Marriage Family Therapist UNION OF PAN ASIAN FSP outpatient behavioral health program to Countywide Open Yes Children (6-18) AHMAD, Associate 1689152712 6563 English 9/13/2021 COMMUNITIES UPAC - SPECIFIC provide services to children who are Seriously Adolescent (12- 17) SIDNI Professional Other Chinese CHILDREN'S MENTAL HEALTH Emotionally Disturbances. The focus of this Transition Age Youth Clinical SERVICES program is to provide services to underserved (16- 25) Counselor Asian Pacific Islander (API) and Latino clients Adult (18+) ANZALDUA, Other 1184224453 English 9/13/2021 5348 University Ave, Suite 108 with Serious Emotional Disturbance (SED) LISA M Qualitified San Diego, CA, 92105 with an emphasis on API clients. Provider 619-455-2108 BARAJAS, Associate 1104436229 119899 English 9/13/2021 www.upacsd.com MARISSA Marriage Spanish Family Therapist DAVILA, Other 1770067845 English 9/13/2021 MELISSA Qualitified Spanish Provider HANNA, Nurse 1215473145 95009867 English 9/13/2021 MICHELLE S Practitioner

HANNA, Nurse 1215473145 95009867 English 9/13/2021 MICHELLE S Practitioner

HERNANDEZ, Associate 1760896948 104054 English 9/13/2021 ARACELY M Marriage Spanish Family Therapist HERNANDEZ, Other 1689284226 English 9/13/2021 ROCIO M Qualitified Spanish Provider

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OREGON, Associate 1770925372 117857 English 9/13/2021 MARIA M Marriage Spanish Family Therapist PARK, Other 1104447341 English 9/13/2021 ANGELA Qualitified Korean Provider PAT, Licensed 1083000293 122009 English 9/13/2021 CARMEN S Marriage and Family Therapist RAMIREZ, Associate 1366962391 5571 English 9/13/2021 CAMILLE M Professional Tagalog Clinical Counselor RAMIREZ, Other 1740890375 English 9/13/2021 MELANIE Qualitified Provider SIA- Associate 1467887083 66918 English 9/13/2021 FLAHERTY, Clinical Social Tagalog JANE O Worker WONG, ANA K Other 1376173823 English 9/13/2021 Qualitified Spanish Provider ZAMBRANO Other 1508477266 English 9/13/2021 LE, ROSE N Qualitified Vietnamese Provider ZHANG, Licensed 1184088239 95709 English 9/13/2021 KAIXIN Clinical Social Mandarin Worker

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HUA, Associate 1275009615 8120 English 9/13/2021 ELIZABETH Professional Clinical Counselor HUYNH, NHU- Mental Health 1902398647 English 9/13/2021 HIEN Rehabilitation Vietnamese Specialist KAUAHI, Other 1477020287 English 9/13/2021 ISAIAH K Qualitified Provider KIM, Licensed 1841406956 27499 English 9/13/2021 HEEYOUNG Clinical Social Korean Worker LIU, NHAN T Other 1891229738 English 9/13/2021 Qualitified Vietnamese Provider MCGREEVY, Other 1053602938 English 9/13/2021 TM PHAN Qualitified Vietnamese Provider MULLIGAN, Associate 1235583063 102517 English 9/13/2021 MICHAEL Marriage Family Therapist OLAGBEMI, Nurse 1124545645 95011030 English 9/13/2021 TEMITAYO Practitioner

ONG, Other 1295367381 English 9/13/2021 STEPHANIE D Qualitified Tagalog Provider RADY, RIEM Other 1891345047 English 9/13/2021 Qualitified Provider WEISENBUR Associate 1003034711 85486 English 9/13/2021 GER, SAM Marriage Family Therapist WHA, EH EH Other 1871155952 English 9/13/2021 Qualitified Provider ZAPPONE, Physician 1225046725 G24562 English 9/13/2021 RONALD

UNION OF PAN ASIAN Program offers BPSR Mental Health Clinics in Central,North Open Yes Adult (18+) CAO, TOAN X Licensed 1912125543 25703 English 9/13/2021 COMMUNITIES UPAC BPSR-MID the Central and North Central Regions with a Central Clinical Social Vietnamese CITY primary target population of Asian/Pacific Worker Islanders. The programs provide outpatient COLLICA, Nurse 1245673581 95007559 English 9/13/2021 5348 University Ave., Ste. 101 &120 mental health rehabilitation and recovery KAREN T Practitioner San Diego, CA, 92105 services, case management/brokerage, mobile 619-229-2999 outreach to engage Transition Age Youth (TAY), long-term vocational support for COLLICA, Nurse 1245673581 95007559 English 9/13/2021 www.upacsd.com seriously mentally ill (SMI) within the target KAREN T Practitioner population.

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HANNA, Nurse 1215473145 95009867 English 9/13/2021 MICHELLE S Practitioner

HUA, Associate 1275009615 8120 English 9/13/2021 ELIZABETH Professional Clinical Counselor HUA, Associate 1275009615 8120 English 9/13/2021 ELIZABETH Professional Clinical Counselor HUYNH, NHU- Mental Health 1902398647 English 9/13/2021 HIEN Rehabilitation Vietnamese Specialist HUYNH, NHU- Mental Health 1902398647 English 9/13/2021 HIEN Rehabilitation Vietnamese Specialist KAUAHI, Other 1477020287 English 9/13/2021 ISAIAH K Qualitified Provider KAUAHI, Other 1477020287 English 9/13/2021 ISAIAH K Qualitified Provider KIM, Licensed 1841406956 27499 English 9/13/2021 HEEYOUNG Clinical Social Korean Worker KIM, Licensed 1841406956 27499 English 9/13/2021 HEEYOUNG Clinical Social Korean Worker KIMBANG, Licensed 1750500641 23634 English 9/13/2021 SUNWOOK Clinical Social Korean Worker LIU, NHAN T Other 1891229738 English 9/13/2021 Qualitified Vietnamese Provider LIU, NHAN T Other 1891229738 English 9/13/2021 Qualitified Vietnamese Provider MCGREEVY, Other 1053602938 English 9/13/2021 TM PHAN Qualitified Vietnamese Provider MCGREEVY, Other 1053602938 English 9/13/2021 TM PHAN Qualitified Vietnamese Provider MULLIGAN, Associate 1235583063 102517 English 9/13/2021 MICHAEL Marriage Family Therapist MULLIGAN, Associate 1235583063 102517 English 9/13/2021 MICHAEL Marriage Family Therapist OLAGBEMI, Nurse 1124545645 95011030 English 9/13/2021 TEMITAYO Practitioner

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UNION OF PAN ASIAN Program offers BPSR Mental Health Clinics in North Central Open Yes Transition Age Youth CAO, TOAN X Licensed 1912125543 25703 English 9/13/2021 COMMUNITIES UPAC BPSR-SERRA the Central and North Central Regions with a (16-25) Clinical Social Vietnamese MESA primary target population of Asian/Pacific Adult (18+) Worker Islanders. Services include outpatient mental Older Adult (60+) HAN, JOSEPH Licensed 1679921589 109618 English 9/13/2021 8745 Aero Drive. Ste 330 health rehabilitation, recovery services, case W Marriage and Korean San Diego, CA, 92123 management/brokerage, mobile outreach to Family 858-268-4933 engage Transition Age Youth (TAY), andlong- Therapist term vocational support for seriously mentally www.upacsd.com ill (SMI) within the target population. HUA, Associate 1275009615 8120 English 9/13/2021 ELIZABETH Professional Clinical Counselor HUYNH, NHU- Mental Health 1902398647 English 9/13/2021 HIEN Rehabilitation Vietnamese Specialist KIM, Licensed 1841406956 27499 English 9/13/2021 HEEYOUNG Clinical Social Korean Worker KIMBANG, Licensed 1750500641 23634 English 9/13/2021 SUNWOOK Clinical Social Korean Worker LIU, NHAN T Other 1891229738 English 9/13/2021 Qualitified Vietnamese Provider MULLIGAN, Associate 1235583063 102517 English 9/13/2021 MICHAEL Marriage Family Therapist PHAM, Other 1285252346 English 9/13/2021 STEPHANIE N Qualitified Vietnamese Provider ZAPPONE, Physician 1225046725 G24562 English 9/13/2021 RONALD

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SNEMIS, ERIN Associate 1306335054 5019 English 9/13/2021 K Professional Clinical Counselor WYNGLASS, Associate 1811346281 AMFT10415 English 9/13/2021 RANDY L Marriage 7 Family Therapist VISTA HILL FOUNDATION Outpatient specialty mental health services, North Inland Open Yes Children (6-18) BROUSSEAU, Associate 1083247514 202327 English 9/13/2021 LEARNING ASSISTANCE CENTERS individual/group/family therapy, rehabilitation, Transition Age Youth ERICA Marriage crisis intervention, case management and (16-25) Family 1029 N. Broadway enhanced services. Therapist Escondido, CA, 92027 CASTILLO, Licensed 1720415789 104174 English 9/13/2021 760-489-4126 DEENA Marriage and Spanish Family www.vistahill.org/programs- Therapist services/learning-assistance-center- lac-county/ COMPAGNON Physician 1447561287 122294 English 9/13/2021 E, MARIANA Spanish

DODD, Mental Health 1669505152 English 9/13/2021 MADELINE J Rehabilitation Tagalog Specialist EDWARDS, Associate 1134576200 278617 English 9/13/2021 NATHAN Marriage Family Therapist GARCIA, ANA Associate 1134388812 83574 English 9/13/2021 M Marriage Spanish Family Therapist Prepared By: Optum PS SD Page: 143 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

www.vistahill.org/programs- ORTIZ, Other 1053944421 English 9/13/2021 services/learning-assistance-center- KARINA Qualitified Spanish lac-county/ Provider PEREZ, Mental Health 1134719461 English 9/13/2021 PAOLA Rehabilitation Spanish Specialist REYES, Mental Health 1497267462 English 9/13/2021 LLENY M Rehabilitation Spanish Specialist VISTA HILL FOUNDATION VISTA Operate certified outpatient behavioral health Countywide Open Yes Young Children (0-5) ARANA, Mental Health 1568931681 English 9/13/2021 HILL FOUNDATION MERIT program and provide a full range of Title 9 Children (6-18) THEASIL A Rehabilitation ACADEMY DAY SCHOOL SERVICES diagnosis and treatment Specialist COLE, Associate 1861996563 81469 English 9/13/2021 1600 Cuyamaca St ASHLEY Clinical Social El Cajon, CA, 92020 Worker 619-956-0600 JAMES- Mental Health 1306491865 English 9/13/2021 www.vistahill.org/programs- JARVIS, Rehabilitation services/merit-day-treatment/ EVELYN D Specialist MIDURA, Licensed 1699199893 52946 English 9/13/2021 NAOMI Marriage and Family Therapist MOORE, Physician 1053682773 A152789 English 9/13/2021 SHAVON

YMCA OF SAN DIEGO COUNTY County funded FSP Program that offers Central,North Open Yes Young Children (0-5) BLEVINS, Associate 1114440021 4414 English 9/13/2021 YMCA TIDES support to youth and their families by providing Central Children (6-18) LORETTA S Professional Spanish a variety of counseling services. Works with Transition Age Youth Clinical 4394 30th St, students ages 5-21, and their families, who are (16- 25) Counselor San Diego, CA, 92104 struggling with emotional or behavioral Adult (18+) DOLEJS, Other 1558987735 English 9/13/2021 619-281-8313 problems at school, home or in community. CAROLYN C Qualitified Provides individual counseling, family Provider www.ymca.org counseling, group counseling, crisis intervention, medication evaluation, medication HUICOCHEA, Associate 1346840618 122721 English 9/13/2021 monitoring, case management. Provides BIANCA A Marriage services at designated school sites & Family community clinic. Therapist JOHNSON, Associate 1588140941 7117 English 9/13/2021 KELSEY T Professional Clinical Counselor LIM, DINA Physician 1104083641 8089 Arabic 9/13/2021 English Korean

LOZANO, Other 1477100642 English 9/13/2021 FELIX Z Qualitified Spanish Provider PAJOR, Other 1538785712 English 9/13/2021 SABRINA L Qualitified Provider REICH, Licensed 1356602510 36524 English 9/13/2021 NICOLE Marriage and Family Therapist STEWART, Other 1356967533 English 9/13/2021 KATHERINE Qualitified Provider

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Type of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number MENTAL YMCA OF SAN DIEGO COUNTY County funded FSP Program that offers Central,North Open Yes Young Children (0-5) TAYLOR, Associate 1851472310 119182 English 9/13/2021 HEALTH YMCA TIDES support to youth and their families by providing Central Children (6-18) KARI R Marriage OUTPATIENT/ a variety of counseling services. Works with Transition Age Youth Family REHABILITATI 4394 30th St, students ages 5-21, and their families, who are (16- 25) Therapist ON San Diego, CA, 92104 struggling with emotional or behavioral Adult (18+) VALENCIA, Associate 1114329190 92950 English 9/13/2021 619-281-8313 problems at school, home or in community. MELISSA Marriage Spanish Provides individual counseling, family Family www.ymca.org counseling, group counseling, crisis Therapist intervention, medication evaluation, medication monitoring, case management. Provides ZAMUDIO, Licensed 1962887828 8362 English 9/13/2021 services at designated school sites & DEANNA Y Professional community clinic. Clinical Counselor MENTAL DEAF COMMUNITY SERVICES OF Provides outpatient mental health services and Countywide Open Yes All Ages DAVISON, Licensed 1962836528 English 9/13/2021 HEALTH SAN DIEGO INC. BEHAVIORAL case management that integrate mental health SELAH Professional OUTPATIENT/ HEALTH SERVICES FOR DEAF & and rehabilitation treatment services for adults Clinical REHABILITATI HARD OF HEARING and older adults, transition age youth and Counselor ON children who are deaf and hard of hearing, and EVERTON- Licensed 1720420854 8647 English 9/13/2021 SUD 1545 Hotel Circle South, Suite 300 who are seriously mentally ill or seriously LOVELL, Professional OUTPATIENT San Diego, CA, 92108 emotionally disturbed, including those who STEFANIE A Clinical CO- 619-398-2441 may also have a co-occurring substance Counselor OCCURRING abuse disorder. In addition, substance abuse MENTAL www.deafcommunityservices.org services are provided for deaf and hard of EVERTON- Licensed 1720420854 8647 English 9/13/2021 HEALTH /SUD hearing adults. LOVELL, Professional American Sign STEFANIE A Clinical Language Counselor GAO, YUYE Other 1386254258 English 9/13/2021 Qualitified Provider GAO, YUYE Other 1386254258 English 9/13/2021 Qualitified Other Chinese Provider American Sign Language KING, NOEL Associate 1346609864 5848 English 9/13/2021 Professional Clinical Counselor KING, NOEL Associate 1346609864 5848 English 9/13/2021 Professional American Sign Clinical Language Counselor OJHA, PRITI Physician 1760897284 139807 English 9/13/2021

MH FULL TELECARE CORPORATION County-wide Short-Doyle Medi-Cal Mental Countywide Open Yes Adult (18+) ASNICAR, Registered 1689713752 1689713752 English 9/13/2021 SERVICE TESORO ACT FSP MHSA Health Services ACT (MHSA) funded Older Adult (60+) REBECCA Nurse PARTNERSHIP Assertive Community Treatment (ACT) Full 3491 Kurtz Street, Suite 150 Service Partnership (FSP) Team with a BERRY, Licensed 1922539758 8964 English 9/13/2021 San Diego, CA, 92110 Strength Based Case Management (SBCM) AMBER Professional 619-320-2404 component for persons, ages 18 to 59 years Clinical https:// old, who are homeless with a serious mental Counselor www.telecarecorp.com illness (SMI), who may have a co-occurring substance usage disorder, are not connected BOULOS, Mental Health 1013434950 English 9/13/2021 to outpatient services, and are being SHALIMAR Rehabilitation discharged from an Acute Care facility as a Specialist stepdowntothecommunityProgramshall BRITTEN, Mental Health 1184237216 English 9/13/2021 provide services in partnership with designated SHELLE Rehabilitation housing authorities. Specialist CHEAM, Other 1881106433 English 9/13/2021 KIMBERLY Qualitified Provider CIPRIANO, Other 1790394542 English 9/13/2021 ATHENA Qualitified Provider CRATER, Mental Health 1457912982 English 9/13/2021 KENDRA Rehabilitation Specialist DUPONT, Mental Health 1679175848 English 9/13/2021 MARSHAL D Rehabilitation Specialist Prepared By: Optum PS SD Page: 145 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

STANCZAK, Licensed 1205176484 107105 English 9/13/2021 ESTHER A Marriage and Spanish Family Therapist TATES, Other 1255697066 English 9/13/2021 TAMEKA Qualitified Provider TORRES, Mental Health 1477164838 English 9/13/2021 BRENDA Rehabilitation Specialist WALKER, Other 1578176103 English 9/13/2021 JADE Qualitified Provider WALLACE, Mental Health 1083267751 English 9/13/2021 SOMMER S Rehabilitation Specialist

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KASNER, Other 1558959726 English 9/13/2021 MARY Qualitified Provider LENTS, Other 1962030387 English 9/13/2021 ELENA Qualitified Provider MACHUCA, Mental Health 1881248896 English 9/13/2021 ADALBERTO Rehabilitation Specialist MANY, Licensed 1396083010 7462 English 9/13/2021 JESSICA L Professional Clinical Counselor TATES, Other 1255697066 English 9/13/2021 TAMEKA Qualitified Provider TORRES, Mental Health 1477164838 English 9/13/2021 BRENDA Rehabilitation Specialist WALLACE, Mental Health 1083267751 English 9/13/2021 SOMMER S Rehabilitation Specialist WOODS, Licensed 1124100193 33603 English 9/13/2021 MARY F Marriage and Family Therapist TELECARE CORPORATION County-wide Short-Doyle Medi-Cal Mental Countywide Open Yes Adult (18+) ASNICAR, Registered 1689713752 1689713752 English 9/13/2021 LA LUZ ACT FSP MHSA Health Services ACT (MHSA) funded Older Adult (60+) REBECCA Nurse Assertive Community Treatment (ACT) Full 3492 Kurtz Street, Suite 150 Service Partnership (FSP) Team with a BERRY, Licensed 1922539758 8964 English 9/13/2021 San Diego, CA, 92110 Strength Based Case Management (SBCM) AMBER Professional 619-320-2404 component for persons, who are homeless Clinical https:// with a serious mental illness (SMI), who may Counselor www.telecarecorp.com have a co-occurring substance use disorder, are not connected to outpatient services and BOULOS, Mental Health 1013434950 94523 English 9/13/2021 are in long-term care facilities (LTC), and will SHALIMAR Rehabilitation be discharged as a step down in to the Specialist community. Program shall provide services in BRITTEN, Mental Health 1184237216 English 9/13/2021 partnership with designated housing SHELLE Rehabilitation authorities. Specialist CHEAM, Other 1881106433 English 9/13/2021 KIMBERLY Qualitified Provider CIPRIANO, Other 1790394542 English 9/13/2021 ATHENA Qualitified Provider DUPONT, Mental Health 1679175848 English 9/13/2021 MARSHAL D Rehabilitation Specialist

Prepared By: Optum PS SD Page: 147 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

STANCZAK, Licensed 1205176484 107105 English 9/13/2021 ESTHER A Marriage and Spanish Family Therapist TORRES, Mental Health 1477164838 English 9/13/2021 BRENDA Rehabilitation Specialist WALKER, Other 1578176103 English 9/13/2021 JADE Qualitified Provider WALLACE, Mental Health 1083267751 English 9/13/2021 SOMMER S Rehabilitation Specialist

Prepared By: Optum PS SD Page: 148 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Inpatient Treatment North Central Closed Yes Infants 0-3 Karippot, Medical Doctor 1609979871 C54071 English OUTPATIENT Medication Evaluation & Management Preschool 3-5 Anoop 9834 Genesee Ave Ste 400 Outpatient Treatment Children 6-12 La Jolla, CA 92037 Adolescents 13-17 (858)412-7362 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Inland Closed Yes Preschool 3-5 Chapero, Other Mental 1306904321 113181 Spanish 48 10 6/15/2020 Individual Therapy Children 6-12 Analia Health English 1002 E Grand Ave Outpatient Treatment Adolescents 13-17 Provider Escondido, CA 92025 Transitional Youth 18 Christensen, Licensed 1245434745 LCS24129 English 32 8 6/14/2021 (760)741-2660 -22 Patti Clinical Social Adults 23-59 Worker Older Adults 60+ DuVall, Other Mental 1942323332 MFC38021 English 48 10 3/4/2021 Christine Health Besse Provider Guzzo, Licensed 1497898431 LCS8288 English 0 0 7/9/2021 Richard Clinical Social Worker Harris, Laura Licensed 1255640280 LCS18214 English 0 0 4/27/2020 Clinical Social Worker Kruvi, Sharon Other Mental 1568777464 MFC53899 Hebrew Health English Provider Long, Abigail Other Mental 1093114357 LMFT10761 English 24 2 5/21/2021 Health 8 Provider Pena-Haas, Other Mental 1346445590 MFC53167 Spanish 0 3 7/26/2021 Lucy Health English Provider Racicot, Other Mental 1568678126 MFC 31702 English 24 3 4/12/2021 Sheilamarie Health Provider Varela-Russo, Other Mental 1407011042 MFC53211 Spanish 40 5 7/22/2021 Maria Health English Provider Fee-For-Service Family Therapy North Central Closed Yes Adults 23-59 Linder, Jason Other Mental 1649606187 LMFT10485 Spanish 14 14 2/17/2021 Group Therapy Older Adults 60+ Health 6 English 10065 Old Grove Rd Ste 102 Home Visits Provider San Diego, CA 92131 Individual Therapy (415)939-4861 Fee-For-Service Individual Therapy Central Closed Yes Transitional Youth 18 Hessling, Medical Doctor 1972659191 G39433 English Inpatient Treatment -22 Thomas 106 Thorn St Medication Evaluation & Management Adults 23-59 San Diego, CA 92103 Outpatient Treatment Older Adults 60+ (619)297-4241 Fee-For-Service ECT (MD Only Including Consult) South Closed No Transitional Youth 18 Morache, Medical Doctor 1689621567 A66531 English Inpatient Treatment -22 Christopher 1061 Tierra Del Rey Ste 200 Medication Evaluation & Management Adults 23-59 Newmark, Medical Doctor 1023064102 A67977 English 48 10 7/13/2020 Chula Vista, CA 91910 Outpatient Treatment Older Adults 60+ Noreen (619)498-5454 Fee-For-Service Inpatient Treatment North Central Closed Yes Infants 0-3 Karippot, Medical Doctor 1609979871 C54071 English Medication Evaluation & Management Preschool 3-5 Anoop 10672 Wexford St Outpatient Treatment Children 6-12 San Diego, CA 92131 Adolescents 13-17 (858)412-7362 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Closed Yes Transitional Youth 18 Clark, Mary Doctor of 1659374775 PSY17897 English 48 10 7/13/2020 Individual Therapy -22 Philosophy in 10981 San Diego Mission Rd Ste Outpatient Treatment Adults 23-59 Psychology 114 Older Adults 60+ San Diego, CA 92108 (619)280-0285

Prepared By: Optum PS SD Page: 149 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Individual Therapy South Open No Transitional Youth 18 Etchie, Samuel Medical Doctor 1124039052 A53857 English 48 15 4/8/2021 OUTPATIENT Inpatient Treatment -22 1129 Third Ave Medication Evaluation & Management Adults 23-59 Chula Vista, CA 91911 Outpatient Treatment (619)426-2965 Fee-For-Service Critical Incident Stress Debriefing North Inland Open Yes Preschool 3-5 Dutart, Laurie Other Mental 1093939027 MFC82471 English 72 3 7/6/2021 Family Therapy Children 6-12 Health 1132 San Marino Dr Ste 208 Group Therapy Adolescents 13-17 Provider San Marcos, CA 92078 Individual Therapy Transitional Youth 18 (760)215-5054 Outpatient Treatment -22 Adults 23-59 Older Adults 60+ Fee-For-Service Individual Therapy North Inland Closed Yes Adolescents 13-17 Carrillo, Anna Medical Doctor 1871519553 A62084 Spanish Inpatient Treatment Transitional Youth 18 English 11665 Avena Pl Ste 204 Medication Evaluation & Management -22 San Diego, CA 92128 Outpatient Treatment Adults 23-59 (858)848-4028 Fee-For-Service ECT (MD Only Including Consult) North Inland Closed No Transitional Youth 18 Berkowitz, Medical Doctor 1578519476 G55943 English Inpatient Treatment -22 Alan 11770 Bernardo Plaza Ct Ste 370 Medication Evaluation & Management Adults 23-59 Chiriac, Irinel Medical Doctor 1871552281 A104663 French 48 15 7/13/2020 San Diego, CA 92128 Outpatient Treatment Older Adults 60+ German (858)673-3360 English Khatchatrian, Medical Doctor 1689687634 C53513 Armenian 48 15 10/3/2019 Karine Russian English Morache, Medical Doctor 1689621567 A66531 English Christopher Signer, Medical Doctor 1194771956 G51749 French 48 10 5/22/2019 Stephen English Fee-For-Service Family Therapy North Inland Closed Yes Children 6-12 Cavanagh, Licensed 1659466217 9361 English 24 7 9/11/2019 Individual Therapy Adolescents 13-17 Teri Clinical Social 11838 Bernardo Plaza Ct Ste 250 Outpatient Treatment Transitional Youth 18 Worker San Diego, CA 92128 -22 (858)617-8617 Adults 23-59 Fee-For-Service Individual Therapy North Inland Closed Yes Transitional Youth 18 Palmer, Ross Medical Doctor 1770930075 A154113 English 120 14 2/8/2021 Inpatient Treatment -22 11878 Avenue of Industry Medication Evaluation & Management Adults 23-59 San Diego, CA 92128 Older Adults 60+ (619)900-9750 Fee-For-Service Family Therapy North Inland Closed Yes Transitional Youth 18 Allen, Andrew Medical Doctor 1275981037 A152457 English Inpatient Treatment -22 11878 Avenue of Industry Medication Evaluation & Management Adults 23-59 San Diego, CA 92128 Outpatient Treatment Older Adults 60+ (619)940-4682 Fee-For-Service Inpatient Treatment North Inland Closed No Transitional Youth 18 Wang, Ryan Medical Doctor 1770960668 A161636 English -22 11878 Avenue of Industry Adults 23-59 San Diego, CA 92128 Older Adults 60+ (858)925-7346 Fee-For-Service Family Therapy North Inland Open No Infants 0-3 Pena-Haas, Other Mental 1346445590 MFC53167 Spanish 0 3 7/26/2021 Group Therapy Preschool 3-5 Lucy Health English 120 W Hawthorne St Home Visits Children 6-12 Provider Fallbrook, CA 92028 Individual Therapy Adolescents 13-17 (760)741-2660 Outpatient Treatment Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Family Therapy North Inland Open Yes Children 6-12 Christensen, Licensed 1245434745 LCS24129 English 32 8 6/14/2021 Individual Therapy Adolescents 13-17 Patti Clinical Social 120 W Hawthorne Inpatient Treatment Transitional Youth 18 Worker Fallbrook, CA 92028 Outpatient Treatment -22 (760)741-2660 Adults 23-59 Older Adults 60+

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Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy South Open Yes Infants 0-3 Araujo, J Other Mental 1174653893 MFC43379 Portuguese 1 1 7/2/2021 OUTPATIENT Individual Therapy Preschool 3-5 Marcia Health Spanish 1200 East H Street Inpatient Treatment Children 6-12 Provider English Chula Vista, CA 91910 Outpatient Treatment Adolescents 13-17 (619)651-7755 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Coastal Open Yes Adults 23-59 Allen, Chriss Doctor of 1710100490 PSY11664 English 10 3 5/19/2021 Individual Therapy Philosophy in 1207 Carlsbad Village Dr Ste R Outpatient Treatment Psychology Carlsbad, CA 92008 (760)598-4528 Fee-For-Service Critical Incident Stress Debriefing North Coastal Open Yes Infants 0-3 Simpson, Doctor of 1669491106 7544 English 24 7 11/26/2019 Family Therapy Preschool 3-5 Suzanne Philosophy in 1207 Carlsbad Village Dr Ste R Individual Therapy Children 6-12 Psychology Carlsbad, CA 92008 Outpatient Treatment Adolescents 13-17 (760)720-4997 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Coastal Open Yes Transitional Youth 18 Allen, Mark Doctor of 1922042886 PSY11665 English 48 10 5/15/2021 Individual Therapy -22 Philosophy in 1207 Carlsbad Village Dr Ste R Outpatient Treatment Adults 23-59 Psychology Carlsbad, CA 92008 Older Adults 60+ (760)846-1945 Fee-For-Service Family Therapy North Coastal Closed Yes Adolescents 13-17 Woodburn, Doctor of 1336215102 PSY5312 English 24 3 1/29/2019 Individual Therapy Transitional Youth 18 Lawrence Philosophy in 1207 Carlsbad Village Dr Ste R Outpatient Treatment -22 Psychology Carlsbad, CA 92008 Psychological Testing Adults 23-59 (858)452-1477 Older Adults 60+ Fee-For-Service Family Therapy South Open Yes Children 6-12 Stewart, Other Mental 1508993122 MFC45174 Spanish 48 15 8/24/2021 Group Therapy Adolescents 13-17 Andrea Health English 124 E 30th St A1 Individual Therapy Transitional Youth 18 Provider National City, CA 91950 Outpatient Treatment -22 (619)748-7850 Adults 23-59 Fee-For-Service Individual Therapy East Closed Yes Adults 23-59 Kozarev, Olivia Licensed 1003211343 LCSW79904 English 48 8 12/10/2019 Outpatient Treatment Older Adults 60+ Clinical Social 1252 Broadway Ste I Worker El Cajon, CA 92021 (619)375-1733 Fee-For-Service Family Therapy East Closed Yes Adolescents 13-17 Hahn, David Doctor of 1881658235 PSY19168 English 72 15 9/10/2020 Individual Therapy Transitional Youth 18 Psychology 1252 Broadway Ste I Neuropsych. Testing -22 El Cajon, CA 92021 Outpatient Treatment Adults 23-59 (619)917-2569 Psychological Testing Older Adults 60+ Fee-For-Service Family Therapy North Coastal Open No Infants 0-3 Fay, Alicia Licensed 1083986137 LCS21857 English 24 2 8/9/2021 Group Therapy Preschool 3-5 Clinical Social 1265 Carlsbad Village Dr, Ste 210-D Individual Therapy Children 6-12 Worker Carlsbad, CA 92008 Outpatient Treatment Adolescents 13-17 (760)720-5247 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Psychological Testing North Inland Closed No Children 6-12 Shimizu, Hideo Doctor of 1477699148 PSY19666 English 72 15 3/2/2018 Adolescents 13-17 Philosophy in 127 E 3rd Ave Ste 201 Psychology Escondido, CA 92025 (760)855-3577 Fee-For-Service Family Therapy East Closed Yes Adults 23-59 Byrne, Andrew Other Mental 1912213331 MFC53477 English 50 20 4/5/2021 Group Therapy Older Adults 60+ Health 127 E Lexington Ave Individual Therapy Provider El Cajon, CA 92020 Outpatient Treatment (619)573-0682

Prepared By: Optum PS SD Page: 151 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy East Open Yes Children 6-12 Kabler, Amy Other Mental 1215199930 109049 English 48 10 6/29/2021 OUTPATIENT Individual Therapy Adolescents 13-17 Health 127 E Lexington Ave Outpatient Treatment Transitional Youth 18 Provider El Cajon, CA 92020 -22 (619)729-0809 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy East Open Yes Infants 0-3 Beal, Sandra Other Mental 1740314103 MFC80924 Italian 48 10 5/25/2021 Individual Therapy Preschool 3-5 Health Spanish 127 E Lexington Ave Outpatient Treatment Children 6-12 Provider English El Cajon, CA 92020 Adolescents 13-17 (619)828-5383 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing East Open No Adolescents 13-17 Rodriguez, Other Mental 1770898066 MFC51145 English 72 7 6/7/2021 Family Therapy Transitional Youth 18 Vanessa Health 1283 E Main St Ste 209 Group Therapy -22 Provider El Cajon, CA 92021 Individual Therapy Adults 23-59 (619)636-0909 Outpatient Treatment Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing East Open Yes Adults 23-59 Ramos, Other Mental 1598303646 98465 English 48 3 5/26/2021 Family Therapy Older Adults 60+ Chenyka Health 1283 E Main St Ste 209 Group Therapy Provider El Cajon, CA 92021 Individual Therapy (619)845-0318 Outpatient Treatment Fee-For-Service Critical Incident Stress Debriefing North Inland Closed Yes Transitional Youth 18 Chor Freitas, Licensed 1962955666 LCSW72895 Portuguese Individual Therapy -22 Miriam Clinical Social Spanish 12929 Pomerado Rd Outpatient Treatment Adults 23-59 Worker English Poway, CA 92064 Older Adults 60+ (858)842-0234 Fee-For-Service Family Therapy South Closed No Adults 23-59 Schmidt, Amy Other Mental 1114257201 MFC95732 English 0 7 1/13/2021 Group Therapy Older Adults 60+ Health 1330 Orange Ave ste 332 Individual Therapy Provider Coronado, CA 92118 (619)737-9118 Fee-For-Service Family Therapy North Inland Open Yes Adults 23-59 Leahy, Other Mental 1700082864 MFC52120 English 24 8 3/25/2021 Individual Therapy Older Adults 60+ Katherine Health 135 E Third Ave Ste B Provider Escondido, CA 92025 (858)442-1482 Fee-For-Service Family Therapy North Inland Open Yes Transitional Youth 18 Stevens, Mark Doctor of 1336269398 PSY20859 English 1 4 5/10/2021 Individual Therapy -22 Philosophy in 13525 Midland Rd Ste J Outpatient Treatment Adults 23-59 Psychology Poway, CA 92064 Older Adults 60+ (858)207-8322 Fee-For-Service Family Therapy Central Closed No Preschool 3-5 Schweitzer, Medical Doctor 1811263916 A136893 Spanish Individual Therapy Children 6-12 Jason English 140 Arbor Dr Medication Evaluation & Management Adolescents 13-17 San Diego, CA 92103 Outpatient Treatment Transitional Youth 18 (858)534-7792 -22 Fee-For-Service Family Therapy North Inland Open Yes Children 6-12 Sachs, Other Mental 1770616005 MFC34188 English 24 4 5/17/2021 Individual Therapy Adolescents 13-17 Jeanine Health 14260 Garden Rd Outpatient Treatment Transitional Youth 18 Provider Poway, CA 92064 -22 (858)231-3489 Adults 23-59 Fee-For-Service Family Therapy North Inland Open Yes Infants 0-3 Searcy, Doctor of 1831115856 PSY11271 English 48 2 8/12/2021 Group Therapy Preschool 3-5 Kenneth Philosophy in 1530 Main St Ste 5 Individual Therapy Children 6-12 Psychology Ramona, CA 92065 Outpatient Treatment Adolescents 13-17 (760)789-6389 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Individual Therapy North Central Open No Adults 23-59 McCrerey, Rita Licensed 1669428157 LCS12880 English 16 7 4/22/2021 Outpatient Treatment Older Adults 60+ Clinical Social 1545 Hotel Cir S Ste 250 Worker San Diego, CA 92108 (619)922-6059

Prepared By: Optum PS SD Page: 152 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Critical Incident Stress Debriefing North Inland Open Yes Adults 23-59 Fouts, Barbara Other Mental 1790832327 MF21397 English 24 3 7/19/2021 OUTPATIENT Family Therapy Older Adults 60+ Health 15525 Pomerado Rd Ste E4 Home Visits Provider Poway, CA 92064 Individual Therapy (858)395-0636 Medication Evaluation & Management Outpatient Treatment Fee-For-Service Inpatient Treatment North Inland Closed No Transitional Youth 18 Helvink, Medical Doctor 1144342403 C54488 English Medication Evaluation & Management -22 Badalin 15611 Pomerado Rd Outpatient Treatment Adults 23-59 Poway, CA 92064 Older Adults 60+ (760)739-2922 Fee-For-Service Family Therapy North Inland Open Yes Adults 23-59 Leahy, Other Mental 1700082864 MFC52120 English 24 8 3/25/2021 Individual Therapy Older Adults 60+ Katherine Health 15708 Pomerado Rd Ste 201 Provider Poway, CA 92064 (858)442-1482 Fee-For-Service Individual Therapy South Closed Yes Adults 23-59 Cox, Anne Medical Doctor 1467428268 G129109 English 24 5 7/17/2020 Outpatient Treatment Older Adults 60+ Melden, Mark Doctor of 1982653135 20A7900 English 24 5 7/17/2020 158 C Ave Osteopathic Coronado, CA 92118 Medicine (619)435-5400 Fee-For-Service Family Therapy North Inland Closed Yes Children 6-12 Colarusso, Licensed 1568704807 LCS27130 English 48 10 9/4/2019 Group Therapy Adolescents 13-17 Michelle Clinical Social 1582 W San Marcos Blvd Ste 105 Individual Therapy Transitional Youth 18 Worker San Marcos, CA 92078 Outpatient Treatment -22 (760)522-7158 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Inland Closed No Preschool 3-5 Chapero, Other Mental 1306904321 113181 Spanish 50 15 6/20/2021 Individual Therapy Children 6-12 Analia Health English 16496 Bernardo Center Dr 307 Outpatient Treatment Adolescents 13-17 Provider San Diego, CA 92128 Transitional Youth 18 (619)820-5862 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy East Open No Infants 0-3 Johnson, Other Mental 1487720629 MFT39707 English 72 21 8/20/2021 Group Therapy Preschool 3-5 Nancy Health 1665 Fuerte Knolls Ln Individual Therapy Children 6-12 Provider El Cajon, CA 92020 Outpatient Treatment Adolescents 13-17 (619)985-9765 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Individual Therapy East Closed Yes Adults 23-59 Gilbert, Medical Doctor 1134160203 G67441 English 24 2 7/14/2020 Medication Evaluation & Management Older Adults 60+ Patricia 1679 E Main St Ste 205 Outpatient Treatment El Cajon, CA 92021 (619)442-4000 Fee-For-Service Inpatient Treatment East Closed Yes Transitional Youth 18 Otis, John Medical Doctor 1235154535 G28506 English Medication Evaluation & Management -22 1679 E Main St Ste 205 Outpatient Treatment Adults 23-59 El Cajon, CA 92021 Older Adults 60+ (619)579-8745 Fee-For-Service Neuropsych. Testing North Inland Closed Yes Children 6-12 Barreda Doctor of 1518152164 PSY24842 Spanish 24 3 8/25/2021 Psychological Testing Adolescents 13-17 Schurr, Cindy Psychology English 16870 W Bernardo Dr Ste 400 Transitional Youth 18 San Diego, CA 92127 -22 (858)682-1616 Adults 23-59 Fee-For-Service Family Therapy North Coastal Open Yes Adolescents 13-17 Beaupre, Licensed 1295237139 82215 English 48 10 7/6/2021 Group Therapy Transitional Youth 18 Michelle Clinical Social 16950 Via de Santa Fe Ste 5060-118 Home Visits -22 Worker Rancho Santa Fe, CA 92091 Individual Therapy Adults 23-59 (760)504-9375 Inpatient Treatment Outpatient Treatment Fee-For-Service ECT (MD Only Including Consult) Out of County Closed No Adolescents 13-17 Chaudhri, Medical Doctor 1043258429 A67679 English 24 24 10/23/2019 Family Therapy Transitional Youth 18 Yashwant 1880 E Washington St Group Therapy -22 Colton, CA 92324 Individual Therapy Adults 23-59 (909)423-0234 Inpatient Treatment Older Adults 60+ Medication Evaluation & Management Outpatient Treatment

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Fee-For-Service Group Therapy North Coastal Closed Yes Preschool 3-5 Garcia, Erika Other Mental 1790982213 MFT41769 Spanish 48 10 7/27/2020 Individual Therapy Children 6-12 Health English 2111 S El Camino Real Ste 300 Outpatient Treatment Adolescents 13-17 Provider Oceanside, CA 92054 Transitional Youth 18 (760)889-9077 -22 Adults 23-59 Older Adults 60+ Fee-For-Service ECT (MD Only Including Consult) East Closed Yes Transitional Youth 18 Miller, Brian Medical Doctor 1861411381 A68180 English Inpatient Treatment -22 2120 Alpine Blvd Medication Evaluation & Management Adults 23-59 Alpine, CA 91901 Older Adults 60+ (858)939-4393 Fee-For-Service Medication Evaluation & Management North Coastal Open Yes Transitional Youth 18 Isacescu, Medical Doctor 1972602720 A68103 French 24 7 6/4/2021 Outpatient Treatment -22 Valentin English 2122 S El Camino Real Ste 100 Adults 23-59 Oceanside, CA 92054 Older Adults 60+ (760)726-6464 Fee-For-Service Family Therapy North Coastal Open Yes Children 6-12 Poloway, Mark Doctor of 1457438624 PSY8883 English 24 5 7/22/2021 Home Visits Adolescents 13-17 Philosophy in 2181 S El Camino Real Ste 205 Individual Therapy Transitional Youth 18 Psychology Oceanside, CA 92054 Outpatient Treatment -22 (760)612-5490 Psychological Testing Adults 23-59 Older Adults 60+

Prepared By: Optum PS SD Page: 154 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy North Coastal Closed Yes Infants 0-3 Peterson, Licensed 1942404363 LCS26416 Spanish OUTPATIENT Group Therapy Preschool 3-5 Leslie Clinical Social English 2204 S El Camino Real Ste 102 Individual Therapy Children 6-12 Worker Oceanside, CA 92054 Outpatient Treatment Adolescents 13-17 (858)966-8682 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Coastal Closed Yes Preschool 3-5 Gonzalez, Licensed 1730213265 LCW23097 Spanish Group Therapy Children 6-12 Margaret Clinical Social English 2204 S El Camino Real Ste 102 Individual Therapy Adolescents 13-17 Worker Oceanside, CA 92054 Outpatient Treatment (760)967-7082 Fee-For-Service Family Therapy North Coastal Closed Yes Children 6-12 Sciortino, Jody Licensed 1053779298 69619 English 48 7 10/11/2020 Individual Therapy Adolescents 13-17 Clinical Social 2204 S El Camino Real Ste 305 Outpatient Treatment Transitional Youth 18 Worker Oceanside, CA 92054 -22 (760)697-2873 Adults 23-59 Older Adults 60+ Fee-For-Service Inpatient Treatment East Closed Yes Preschool 3-5 Brannen, Psychiatric 1891205159 95072905 English Medication Evaluation & Management Children 6-12 Mandy Nurse 225 W Madison Ave Ste 2 Outpatient Treatment Adolescents 13-17 Practitioner El Cajon, CA 92020 Transitional Youth 18 Chudacek, Psychiatric 1932606118 NP95008776 English 24 3 3/30/2020 (619)334-7542 -22 Janet Nurse Adults 23-59 Practitioner Older Adults 60+ Sanders, Doctor of 1144264300 20A5544 English 24 72 4/16/2020 Robert Osteopathic Medicine Soriano, Psychiatric 1164641650 PN786457 Tagalog 24 3 7/9/2021 Deomel Nurse English Practitioner Fee-For-Service Family Therapy East Closed Yes Adults 23-59 Allen, John Medical Doctor 1659382588 C37706 English Individual Therapy Older Adults 60+ 225 W Madison Ave Ste 2 Inpatient Treatment El Cajon, CA 92020 Medication Evaluation & Management (619)631-4505 Outpatient Treatment Fee-For-Service Inpatient Treatment East Closed Yes Transitional Youth 18 Highum, Jon Medical Doctor 1538215603 G65798 English 48 10 12/20/2019 Medication Evaluation & Management -22 225 W Madison Ave Ste 2 Outpatient Treatment Adults 23-59 El Cajon, CA 92020 Older Adults 60+ (619)971-1423 Fee-For-Service Family Therapy South Closed Yes Preschool 3-5 Gomez, Other Mental 1750754081 106554 Spanish 48 10 8/24/2020 Group Therapy Children 6-12 Romelia Health English 230 Glover Ave Ste I Individual Therapy Adolescents 13-17 Provider Chula Vista, CA 91910 Outpatient Treatment Transitional Youth 18 (858)286-9800 -22 Adults 23-59 Fee-For-Service Individual Therapy South Closed No Transitional Youth 18 Segal, Nina Licensed 1134495633 70996 Spanish 48 10 6/18/2020 Outpatient Treatment -22 Clinical Social English 231 Fourth Ave Adults 23-59 Worker Chula Vista, CA 91910 (619)259-3568 Fee-For-Service Family Therapy Out of County Closed Yes Infants 0-3 Nock, Leshea Other Mental 1164766713 MFC86128 English 14 12 5/3/2021 Individual Therapy Preschool 3-5 Health 24114 Jefferson Ave Outpatient Treatment Children 6-12 Provider Murrieta, CA 92562 Adolescents 13-17 (760)445-5796 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing North Central Open Yes Adults 23-59 Marotta, Other Mental 1700801511 MFC32937 English 24 5 8/12/2021 Family Therapy Older Adults 60+ Antonio Health 2423 Camino Del Rio S Ste 101 Individual Therapy Provider San Diego, CA 92108 Outpatient Treatment (619)293-3741

Prepared By: Optum PS SD Page: 155 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy North Central Open Yes Children 6-12 Pickering, Other Mental 1235210428 MFC42790 English 720 55 5/18/2021 OUTPATIENT Group Therapy Adolescents 13-17 Andrew Health 2423 Camino Del Rio S Ste 101 Individual Therapy Transitional Youth 18 Provider San Diego, CA 92108 Outpatient Treatment -22 (619)994-1307 Adults 23-59 Fee-For-Service Critical Incident Stress Debriefing North Central Open Yes Children 6-12 Rudenberg, Doctor of 1336368331 PSY12844 English 24 1 4/16/2021 Family Therapy Adolescents 13-17 Murray Philosophy in 2423 Camino Del Rio S Ste 101 Group Therapy Transitional Youth 18 Psychology San Diego, CA 92108 Individual Therapy -22 (619)995-3854 Inpatient Treatment Adults 23-59 Outpatient Treatment Older Adults 60+ Psychological Testing Fee-For-Service Psychological Testing North Coastal Open Yes Children 6-12 Wright, Daniel Doctor of 1376672063 PSY18559 English 48 7 3/9/2021 Adolescents 13-17 Philosophy in 2424 Vista Way Ste 210 Transitional Youth 18 Psychology Oceanside, CA 92054 -22 (760)855-0393 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy Central Open No Children 6-12 Deignan, Licensed 1679630776 LCS21861 English 48 10 6/30/2021 Individual Therapy Adolescents 13-17 Patricia Clinical Social 2496 E Street Ste 2F Outpatient Treatment Adults 23-59 Worker San Diego, CA 92102 Older Adults 60+ (619)723-9244 Fee-For-Service Medication Evaluation & Management South Open Yes Transitional Youth 18 Lulich, Kristin Other Mental 1942574967 95002702 English -22 Health 250 Prospect Pl Adults 23-59 Provider Coronado, CA 92118 Older Adults 60+ (619)740-4800 Fee-For-Service Family Therapy North Central Closed Yes Adolescents 13-17 Aguila, Lorena Doctor of 1518977925 PSY20030 Spanish 48 31 7/12/2021 Individual Therapy Transitional Youth 18 Philosophy in English 2525 Camino Del Rio S Ste 205 Outpatient Treatment -22 Psychology San Diego, CA 92108 Adults 23-59 (858)386-3826 Fee-For-Service Family Therapy North Central Open Yes Infants 0-3 Lewis, Kyle Other Mental 1134664188 121395 English 24 10 8/31/2021 Individual Therapy Preschool 3-5 Health 2535 Camino Del Rio S Ste 220 Outpatient Treatment Children 6-12 Provider San Diego, CA 92108 Adolescents 13-17 (619)780-4242 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Psychological Testing North Central Open Yes Children 6-12 Wright, Daniel Doctor of 1376672063 PSY18559 English 48 7 3/9/2021 Adolescents 13-17 Philosophy in 2535 Camino Del Rio S Ste 230 Transitional Youth 18 Psychology San Diego, CA 92108 -22 (760)855-0393 Adults 23-59 Older Adults 60+ Fee-For-Service Psychological Testing North Central Closed Yes Children 6-12 Rabin, Alexa Doctor of 1376834911 PSY26200 English 48 10 2/16/2020 Adolescents 13-17 Psychology 2535 Camino del Rio S Ste 303 Transitional Youth 18 San Diego, CA 92108 -22 (619)796-1358 Adults 23-59 Fee-For-Service Neuropsych. Testing North Central Closed Yes Children 6-12 McCullaugh, Doctor of 1184995466 PSY26244 English 24 5 1/28/2021 Outpatient Treatment Adolescents 13-17 Joseph Philosophy in 2535 Camino Del Rio S Ste 303 Psychological Testing Transitional Youth 18 Psychology San Diego, CA 92108 -22 (619)800-5632 Adults 23-59 Older Adults 60+ Fee-For-Service Psychological Testing North Central Open Yes Infants 0-3 Filizetti, Kirstin Doctor of 1780901835 PSY25099 English 0 5 8/17/2021 Preschool 3-5 Philosophy in 2535 Camino Del Rio S Ste 303 Children 6-12 Psychology San Diego, CA 92108 Adolescents 13-17 (619)940-7774 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+

Prepared By: Optum PS SD Page: 156 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Neuropsych. Testing Central Open Yes Children 6-12 Shaw, Morgan Doctor of 1942677935 PSY27516 English 48 10 9/1/2021 OUTPATIENT Psychological Testing Adolescents 13-17 Psychology 2535 Kettner Blvd Ste 2B1 Transitional Youth 18 San Diego, CA 92101 -22 (858)848-6722 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy South Closed No Adults 23-59 Mendoza, Ana Medical Doctor 1922017698 A85866 Spanish Individual Therapy Older Adults 60+ English 264 I St Inpatient Treatment Chula Vista, CA 91910 Medication Evaluation & Management (619)993-4643 Outpatient Treatment Fee-For-Service Critical Incident Stress Debriefing North Central Open Yes Children 6-12 White, Derrick Other Mental 1851636021 LMFT11157 English 24 48 5/1/2021 Family Therapy Adolescents 13-17 Health 9 2667 Camino Del Rio S Ste 301-7 Group Therapy Transitional Youth 18 Provider San Diego, CA 92108 Home Visits -22 (619)261-4240 Individual Therapy Adults 23-59 Outpatient Treatment Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing North Central Open Yes Adults 23-59 Shehee, Sokia Licensed 1174934335 61304 English 48 10 9/3/2021 Family Therapy Older Adults 60+ Clinical Social 2667 Camino Del Rio S Ste 301-7 Home Visits Worker San Diego, CA 92108 Individual Therapy (661)331-9480 Outpatient Treatment Fee-For-Service Psychological Testing East Open Yes Children 6-12 Jordan, Doctor of 1356567200 PSY16697 English 24 5 4/30/2021 Adolescents 13-17 Richard Psychology 270 E Douglas Ave Transitional Youth 18 El Cajon, CA 92020 -22 (619)415-6493 Fee-For-Service Critical Incident Stress Debriefing North Central Closed Yes Adults 23-59 Essling, Licensed 1063726818 19847 English Family Therapy Older Adults 60+ Florence Clinical Social 2725 Congress St Group Therapy Worker San Diego, CA 92110 Home Visits (619)688-1035 Individual Therapy Outpatient Treatment Fee-For-Service Family Therapy North Central Closed Yes Infants 0-3 Scoortis, Other Mental 1093865073 MFC43174 English 24 3 7/14/2020 Individual Therapy Preschool 3-5 Phaedra Health 2727 Camino Del Rio S Ste 311 Outpatient Treatment Children 6-12 Provider San Diego, CA 92108 Adolescents 13-17 (619)244-3329 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Family Therapy Central Closed No Adults 23-59 Rickard, Other Mental 1942484571 MFC49200 English 48 30 10/21/2019 Individual Therapy Jennifer Health 2729 4th Ave Ste 3 Outpatient Treatment Provider San Diego, CA 92103 (619)961-5058 Fee-For-Service Inpatient Treatment Central Closed Yes Transitional Youth 18 Niday, Medical Doctor 1932429289 A113548 English Medication Evaluation & Management -22 Takeshia 2760 5th Ave Ste 205 Outpatient Treatment Adults 23-59 San Diego, CA 92103 Older Adults 60+ (619)327-0146 Fee-For-Service ECT (MD Only Including Consult) North Inland Closed Yes Transitional Youth 18 Berkowitz, Medical Doctor 1578519476 G55943 English 48 15 7/13/2020 Inpatient Treatment -22 Alan 277 Rancheros Dr Ste 301 Medication Evaluation & Management Adults 23-59 Frost, Nicholas Medical Doctor 1730129651 G22304 English 48 10 2/20/2019 San Marcos, CA 92069 Outpatient Treatment Older Adults 60+ (760)471-4073 Morache, Medical Doctor 1689621567 A66531 English Christopher Ordas, Dennis Medical Doctor 1336196211 G77521 Spanish 48 15 7/13/2020 English Fee-For-Service Family Therapy North Coastal Closed No Children 6-12 Bradshaw, Doctor of 1629387766 PSY28095 English Group Therapy Adolescents 13-17 Kelsey Philosophy in 2777 Jefferson St Ste 203 Neuropsych. Testing Transitional Youth 18 Psychology Carlsbad, CA 92008 Outpatient Treatment -22 (760)385-8426 Psychological Testing Adults 23-59 Fee-For-Service Family Therapy North Coastal Closed No Preschool 3-5 WilckensGjata, Licensed 1902899354 LCS21144 Spanish 24 5 5/19/2021 Individual Therapy Children 6-12 Paola Clinical Social English 2777 Jefferson St Ste 203C Outpatient Treatment Adolescents 13-17 Worker Carlsbad, CA 92008 Transitional Youth 18 (760)535-1847 -22 Adults 23-59

Prepared By: Optum PS SD Page: 157 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Inpatient Treatment North Central Closed No Transitional Youth 18 Veal, Timothy Medical Doctor 1326333485 A124269 English OUTPATIENT Medication Evaluation & Management -22 2810 Camino Del Rio S Ste 102 Outpatient Treatment Adults 23-59 San Diego , CA 92108 Older Adults 60+ (619)299-1419 Fee-For-Service Inpatient Treatment North Central Closed No Transitional Youth 18 Ahmed, Medical Doctor 1184856916 A124696 English Medication Evaluation & Management -22 Mohammed 2810 Camino Del Rio S Ste 102 Outpatient Treatment Adults 23-59 Bolt, Ashlee Psychiatric 1669816492 95008669 English 0 0 10/25/2019 San Diego, CA 92108 Older Adults 60+ Nurse (619)299-1419 Practitioner Brantman, Psychiatric 1689621633 NP12343 English Anne Nurse Practitioner Deatrick, Psychiatric 1316371180 23346 English 24 3 4/14/2021 Veronica Nurse Practitioner Freeman, Psychiatric 1659504264 95003903 English 24 24 7/9/2021 Wanda Nurse Practitioner Helvink, Medical Doctor 1144342403 C54488 English Badalin Hidy, Benjamin Medical Doctor 1447570031 A118905 English Hyler, Bryan Medical Doctor 1811218092 A122488 English Keri, Jason Medical Doctor 1811915812 A82017 English 24 14 7/16/2020 McAuley, Medical Doctor 1194881888 G23317 English Robert Modhwadia, Medical Doctor 1043353667 A113990 English 72 72 12/19/2019 Mamta Patel, Daksha Medical Doctor 1770559338 148023 English Pellecchia, Psychiatric 1780981266 NP21354 English Kristyn Nurse Practitioner Pevney, Eric Doctor of 1689920902 PSY25065 English Philosophy in Psychology Prasek, Lauren Psychiatric 1932566031 95004145 English Nurse Practitioner Rose, Richard Medical Doctor 1033206552 G21963 English Simonet, Doctor of 1235263351 PSY16314 English Christopher Philosophy in Psychology Soriano, Psychiatric 1164641650 PN786457 Tagalog Deomel Nurse English Practitioner Tavakoli, Sirpa Medical Doctor 1326016296 A87373 English Fee-For-Service Critical Incident Stress Debriefing North Central Closed No Adults 23-59 Tweedy, David Doctor of 1336295500 PSY16608 English Family Therapy Older Adults 60+ Philosophy in 2810 Camino Del Rio S Ste 102 Home Visits Psychology San Diego, CA 92108 Individual Therapy (858)385-1419 Inpatient Treatment Outpatient Treatment Fee-For-Service Family Therapy North Central Closed Yes Adults 23-59 Van Praag, Other Mental 1326285511 LMFT23317 English Individual Therapy Lauren Health 2810 Camino Del Rio S Ste 204 Outpatient Treatment Provider San Diego, CA 92108 (619)231-3855 Fee-For-Service Family Therapy Central Closed Yes Adults 23-59 Boychuk, Doctor of 1063540433 PSY23339 English 24 3 2/11/2019 Group Therapy Denise Psychology 2816 Adams Ave Individual Therapy San Diego, CA 92116 Outpatient Treatment (619)203-0768 Psychological Testing

Prepared By: Optum PS SD Page: 158 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy North Central Open Yes Infants 0-3 Griggs, Other Mental 1992906457 84749 English 24 5 8/26/2021 OUTPATIENT Individual Therapy Preschool 3-5 Kimberly Health 2851 Camino Del Rio S Ste 300 Outpatient Treatment Children 6-12 Provider San Diego, CA 92108 Adolescents 13-17 (909)229-7056 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Individual Therapy North Coastal Open Yes Adolescents 13-17 McKnight, Doctor of 1710117981 PSY24001 English 48 7 6/24/2021 Outpatient Treatment Transitional Youth 18 Rebecca Psychology 2892 Jefferson St Psychological Testing -22 Carlsbad, CA 92008 Adults 23-59 (619)997-7520 Fee-For-Service Home Visits North Coastal Closed Yes Infants 0-3 Melden, Mark Doctor of 1982653135 20A7900 English Inpatient Treatment Preschool 3-5 Osteopathic 2892 Jefferson St Medication Evaluation & Management Children 6-12 Medicine Carlsbad, CA 92008 Outpatient Treatment Adolescents 13-17 (760)434-9500 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy Out of County Closed No Transitional Youth 18 Alas, Roxana Licensed 1306223672 82202 Spanish 48 7 6/1/2021 Group Therapy -22 Clinical Social English 28936 Old Town Front St Ste 102 Individual Therapy Adults 23-59 Worker Temecula, CA 92590 Outpatient Treatment Older Adults 60+ (951)235-2956 Fee-For-Service Family Therapy Central Open Yes Adults 23-59 Martin, Jaimi Licensed 1245460344 79676 English 48 3 5/24/2021 Individual Therapy Older Adults 60+ Clinical Social 2911 Adams Ave Inpatient Treatment Worker San Diego, CA 92116 (619)786-1558 Fee-For-Service Family Therapy North Coastal Open Yes Adults 23-59 Cain, David Doctor of 1063574242 PSY6654 English 2 4 4/28/2021 Group Therapy Older Adults 60+ Philosophy in 2945 Harding St Ste 103 Individual Therapy Psychology Carlsbad, CA 92008 Outpatient Treatment (760)533-9066 Fee-For-Service Family Therapy North Coastal Closed Yes Adolescents 13-17 Pierce, Melissa Doctor of 1871722199 PSY26118 English 72 7 4/17/2018 Group Therapy Transitional Youth 18 Psychology 2945 Harding St Ste 109 Individual Therapy -22 Carlsbad, CA 92008 Outpatient Treatment Adults 23-59 (760)814-1321 Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing North Coastal Closed Yes Adults 23-59 Tweedy, David Doctor of 1336295500 PSY16608 English Family Therapy Older Adults 60+ Philosophy in 2945 Harding St Ste 112 Home Visits Psychology Carlsbad, CA 92008 Individual Therapy (760)310-8655 Inpatient Treatment Outpatient Treatment Fee-For-Service Psychological Testing North Central Closed No Children 6-12 Lord, Doctor of 1659605756 PSY26507 English Adolescents 13-17 Stephanie Philosophy in 3002 Armstrong St Transitional Youth 18 Psychology San Diego, CA 92111 -22 Adults 23-59 Fee-For-Service Inpatient Treatment North Central Closed Yes Infants 0-3 Connor, Medical Doctor 1871772129 A102033 Spanish Medication Evaluation & Management Preschool 3-5 Willard English 3020 Children's Way Outpatient Treatment Children 6-12 San Diego, CA 92123 Adolescents 13-17 Transitional Youth 18 -22 Fee-For-Service Medication Evaluation & Management North Central Open No Infants 0-3 Gildin, Joan Medical Doctor 1396847299 G40268 English Preschool 3-5 3020 Children's Way Children 6-12 San Diego, CA 92123 Adolescents 13-17 (858)576-1700 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+

Prepared By: Optum PS SD Page: 159 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Inpatient Treatment North Central Closed Yes Infants 0-3 Maxwell, Ben Medical Doctor 1740415926 A108124 English OUTPATIENT Preschool 3-5 3020 Children's Way Children 6-12 San Diego, CA 92123 Adolescents 13-17 (858)966-1700 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Family Therapy North Central Open Yes Preschool 3-5 Campero, Other Mental 1134412174 90924 Spanish 24 7 7/15/2020 Group Therapy Children 6-12 Jannee Health English 3020 Childrens Way MC 5001 Individual Therapy Adolescents 13-17 Provider San Diego, CA 92123 Inpatient Treatment Transitional Youth 18 (858)966-1700 Outpatient Treatment -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Closed Yes Infants 0-3 Alley, Julie Doctor of 1124144274 PSY20616 English Group Therapy Preschool 3-5 Psychology 3020 Children's Way MC5016 Individual Therapy Children 6-12 Gordon, Susan Licensed 1770804965 LCS14677 English 48 10 7/2/2021 San Diego, CA 92123 Outpatient Treatment Adolescents 13-17 Clinical Social (858)966-5803 Transitional Youth 18 Worker -22 Adults 23-59 Fee-For-Service Inpatient Treatment North Central Open Yes Infants 0-3 Jenkins, Medical Doctor 1255730859 A132206 English 0 0 6/29/2020 Preschool 3-5 Willough 3020 Childrens Way Children 6-12 San Diego, CA 92123 Adolescents 13-17 (619)543-5733 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Inpatient Treatment North Central Closed Yes Adults 23-59 Adler, Lisa Medical Doctor 1891115606 A161206 English Medication Evaluation & Management Older Adults 60+ 3020 Childrens Way Outpatient Treatment San Diego, CA 92123 (858)309-6300 Fee-For-Service Inpatient Treatment North Central Closed Yes Infants 0-3 Besterman, Medical Doctor 1821364241 A126809 English Medication Evaluation & Management Preschool 3-5 Aaron 3020 Childrens Way Children 6-12 Ciobanu, Medical Doctor 1285049932 A137628 English San Diego, CA 92123 Adolescents 13-17 Cosmina (858)576-1700 Transitional Youth 18 -22 Frank, Guido Medical Doctor 1578608733 A86429 German 0 0 5/13/2020 English Patel, Ekta Medical Doctor 1164765574 A145114 English Shapiro, Medical Doctor 1699061879 A122278 English Desiree Sidhu, Shawn Medical Doctor 1033344429 A113606 English Fee-For-Service Family Therapy North Central Open No Preschool 3-5 Bird, Anne Medical Doctor 1659539658 140988 English Group Therapy Children 6-12 Motamedi, Doctor of 1407378706 31860 English 3020 Children's Way Individual Therapy Adolescents 13-17 Mojdeh Philosophy in San Diego, CA 92123 Inpatient Treatment Transitional Youth 18 Psychology (858)576-1700 Medication Evaluation & Management -22 Outpatient Treatment Postlethwaite, Medical Doctor 1750566915 A88938 Spanish Alejandra English Schweitzer, Medical Doctor 1811263916 A136893 Spanish 2 10 5/4/2021 Jason English Sweet, Medical Doctor 1366581506 A103572 English 0 0 3/26/2020 Hannah Fee-For-Service Family Therapy North Central Closed Yes Preschool 3-5 Wu, Michelle Medical Doctor 1043650088 125139 English 0 0 11/18/2019 Group Therapy Children 6-12 3020 Children's Way Individual Therapy Adolescents 13-17 San Diego, CA 92123 Inpatient Treatment Transitional Youth 18 (858)761-1700 Medication Evaluation & Management -22 Outpatient Treatment Fee-For-Service Family Therapy North Central Closed Yes Infants 0-3 Kaprow, Licensed 1336357839 LCS21823 Spanish 48 10 3/10/2020 Group Therapy Preschool 3-5 Marisa Clinical Social English 3020 Children's Way Individual Therapy Children 6-12 Worker San Diego, CA 92123 Outpatient Treatment Adolescents 13-17 (858)966-5980 Transitional Youth 18 -22 Adults 23-59

Prepared By: Optum PS SD Page: 160 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy North Inland Open No Infants 0-3 Gernandt, Other Mental 1538292115 MFC50395 English 23 2 3/5/2021 OUTPATIENT Group Therapy Preschool 3-5 Debra Health 30240 Hwy 78 Individual Therapy Children 6-12 Provider Santa Ysabel, CA 92070 Outpatient Treatment Adolescents 13-17 (760)765-3578 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy South Open Yes Children 6-12 Cuevas, Licensed 1699089433 LCSW78670 Spanish 48 10 7/2/2021 Group Therapy Adolescents 13-17 Carmen Clinical Social English 3065 Beyer Blvd Ste B103 Individual Therapy Transitional Youth 18 Worker San Diego, CA 92154 Outpatient Treatment -22 (619)271-7748 Adults 23-59 Fee-For-Service Family Therapy Central Open Yes Infants 0-3 Arellano, Other Mental 1508018912 MFC84411 Spanish 24 7 8/14/2021 Group Therapy Preschool 3-5 Monica Health English 31 20th St Home Visits Transitional Youth 18 Provider San Diego, CA 92102 Individual Therapy -22 (858)264-6357 Outpatient Treatment Adults 23-59 Fee-For-Service Critical Incident Stress Debriefing Central Open Yes Children 6-12 Harley, Kasimu Other Mental 1447475579 MFC29988 English 24 7 5/6/2021 Family Therapy Adolescents 13-17 Health 3115 Altadena Ave Group Therapy Transitional Youth 18 Provider San Diego, CA 92105 Individual Therapy -22 (619)829-9140 Outpatient Treatment Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Coastal Open No Preschool 3-5 Katahara, Licensed 1497821060 LCS28800 English 72 10 7/12/2021 Group Therapy Children 6-12 Melinda Clinical Social 3150 El Camino Real Ste C Individual Therapy Adolescents 13-17 Worker Carlsbad, CA 92008 Outpatient Treatment Transitional Youth 18 (760)994-7300 -22 Adults 23-59 Fee-For-Service Individual Therapy North Coastal Closed No Transitional Youth 18 Lord, Colette Doctor of 1184790933 21497 English 48 48 2/8/2019 Outpatient Treatment -22 Philosophy in 317 14th St Ste E Adults 23-59 Psychology Del Mar, CA 92014 Older Adults 60+ (858)276-8831 Fee-For-Service Family Therapy Central Open No Children 6-12 Gonzalez, Other Mental 1255678686 LMFT10397 Spanish 48 7 3/27/2021 Group Therapy Adolescents 13-17 Dianna Health 9 English 3180 University Ave 214 Individual Therapy Transitional Youth 18 Provider San Diego, CA 92104 Outpatient Treatment -22 (858)413-7793 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy Central Closed No Infants 0-3 Kelley, Maria Licensed 1649365438 LCS22990 Spanish 48 5 7/20/2020 Home Visits Preschool 3-5 Teresa Clinical Social English 3225 4th Ave Individual Therapy Children 6-12 Worker San Diego, CA 92103 Outpatient Treatment Adolescents 13-17 (619)884-0118 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Family Therapy Central Closed No Infants 0-3 Tando, Licensed 1134191182 LCS21699 English 48 14 8/29/2020 Group Therapy Preschool 3-5 Darlene Clinical Social 3245 University Ave Ste 1 #357 Individual Therapy Children 6-12 Worker San Diego, CA 92104 Outpatient Treatment Adolescents 13-17 (619)948-8926 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Inpatient Treatment North Central Closed Yes Transitional Youth 18 Moyer, Trenton Medical Doctor 1437180791 A78165 English Outpatient Treatment -22 3252 Holiday Court Ste 102 Adults 23-59 La Jolla, CA 92037 Older Adults 60+ (858)457-1399 Fee-For-Service Individual Therapy South Open Yes Infants 0-3 Saben, Medical Doctor 1669454898 G27446 English 24 5 6/2/2021 Inpatient Treatment Preschool 3-5 Laurence 330 Moss St Medication Evaluation & Management Children 6-12 Chula Vista, CA 91911 Outpatient Treatment Adolescents 13-17 (619)440-7831 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+

Prepared By: Optum PS SD Page: 161 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy North Inland Closed No Adults 23-59 Buchmann, Other Mental 1063639102 MFC50774 English OUTPATIENT Individual Therapy Ryan Health 330 Rancheros Dr Ste 222 Provider San Marcos, CA 92069 (760)566-8760 Fee-For-Service Family Therapy South Open Yes Infants 0-3 Cruz y Celis, Other Mental 1811978612 MFC35169 Spanish Group Therapy Preschool 3-5 Mauricio Health English 333 H St Ste 3010 Individual Therapy Children 6-12 Provider Chula Vista, CA 91910 Outpatient Treatment Adolescents 13-17 Stern-Ellis, Licensed 1366724718 LCS16941 English 24 7 7/15/2020 (619)420-5611 Transitional Youth 18 Heidi Clinical Social -22 Worker Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy South Open Yes Adults 23-59 Wilcox, Jeanne Other Mental 1255538955 MFC44222 English 36 3 6/4/2021 Group Therapy Health 333 H St Ste 5000 Home Visits Provider Chula Vista, CA 91910 Individual Therapy (619)246-5611 Outpatient Treatment Fee-For-Service Family Therapy North Inland Closed No Preschool 3-5 Gonzalez, Licensed 1730213265 LCW23097 Spanish Group Therapy Children 6-12 Margaret Clinical Social English 334 Via Vera Cruz Ste 208 Individual Therapy Adolescents 13-17 Worker San Marcos, CA 92078 Outpatient Treatment (760)201-6198 Fee-For-Service Family Therapy North Inland Open No Infants 0-3 Peterson, Licensed 1942404363 LCS26416 Spanish 24 5 6/3/2021 Group Therapy Preschool 3-5 Leslie Clinical Social English 334 Via Vera Cruz Ste 208 Individual Therapy Children 6-12 Worker San Marcos, CA 92078 Outpatient Treatment Adolescents 13-17 (760)683-9341 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy Central Open No Adults 23-59 Berger, Doctor of 1902181175 PSY10038 English 12 2 8/16/2021 Individual Therapy Older Adults 60+ Carolyn Philosophy in 3344 4th Ave Ste 200 Inpatient Treatment Psychology San Diego, CA 92103 Outpatient Treatment (619)289-7484 Fee-For-Service Critical Incident Stress Debriefing North Coastal Open Yes Children 6-12 Wooden, Doctor of 1013035252 PSY26436 Arabic 24 7 4/20/2021 Family Therapy Adolescents 13-17 Feeby Joe Philosophy in English 3355 Mission Ave Ste 111 Group Therapy Transitional Youth 18 Psychology Oceanside, CA 92058 Individual Therapy -22 (760)810-1440 Outpatient Treatment Adults 23-59 Psychological Testing Older Adults 60+ Fee-For-Service Family Therapy Out of County Open Yes Infants 0-3 Nock, Leshea Other Mental 1164766713 MFC86128 English 12 14 5/3/2021 Individual Therapy Preschool 3-5 Health 33595 Abbey Rd Outpatient Treatment Children 6-12 Provider Temecula, CA 92592 Adolescents 13-17 (760)445-5796 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Open Yes Adolescents 13-17 Frank, Eric Licensed 1710070859 LCS22363 English 48 7 6/28/2021 Individual Therapy Transitional Youth 18 Clinical Social 3443 Camino del Rio S, Ste 301 Outpatient Treatment -22 Worker San Diego, CA 92108 Adults 23-59 (619)694-8994 Fee-For-Service Family Therapy North Central Open Yes Children 6-12 Welsh-Osga, Doctor of 1801999065 PSY7850 Portuguese 24 36 5/17/2021 Group Therapy Adolescents 13-17 Barbara Philosophy in English 3505 Camino Del Rio S Ste 238 Individual Therapy Transitional Youth 18 Psychology San Diego, CA 92108 Outpatient Treatment -22 (619)285-9981 Psychological Testing Adults 23-59 Older Adults 60+ Fee-For-Service Outpatient Treatment North Central Closed Yes Infants 0-3 de Llano, Doctor of 1992752406 PSY11154 Spanish 48 15 1/15/2020 Psychological Testing Preschool 3-5 Carmen Philosophy in English 3505 Camino Del Rio S Ste 335A Children 6-12 Psychology San Diego, CA 92108 Adolescents 13-17 (619)584-6299 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+

Prepared By: Optum PS SD Page: 162 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Fee-For-Service Medication Evaluation & Management North Coastal Closed Yes Transitional Youth 18 Patel, Rachit Medical Doctor 1851612303 A139196 English -22 354 Santa Fe Drive Adults 23-59 Encinitas, CA 92024 Older Adults 60+

Fee-For-Service Family Therapy North Coastal Closed Yes Adults 23-59 Wilson, Other Mental 1184719270 42905 English Group Therapy Older Adults 60+ Shanna Health 3605 Vista Way Ste 201 Home Visits Provider Oceanside, CA 92056 Individual Therapy (858)576-1700 Outpatient Treatment Fee-For-Service Inpatient Treatment North Coastal Closed Yes Infants 0-3 Connor, Medical Doctor 1871772129 A102033 Spanish Medication Evaluation & Management Preschool 3-5 Willard English 3605 Vista Way Ste 258 Outpatient Treatment Children 6-12 Oceanside, CA 92056 Adolescents 13-17 Transitional Youth 18 -22 Fee-For-Service Medication Evaluation & Management North Coastal Open Yes Infants 0-3 Gildin, Joan Medical Doctor 1396847299 G40268 English 8 5 8/5/2021 Preschool 3-5 3605 Vista Way Ste 258 Children 6-12 Oceanside, CA 92056 Adolescents 13-17 (760)758-1480 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy Central Closed Yes Children 6-12 Rich, Kiefer Other Mental 1881846061 MFC53627 English 48 3 4/10/2018 Group Therapy Adolescents 13-17 Health 3636 5th Ave Ste 103 Home Visits Transitional Youth 18 Provider San Diego, CA 92103 Individual Therapy -22 (619)752-4666 Outpatient Treatment Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Closed Yes Infants 0-3 Kaprow, Licensed 1336357839 LCS21823 Spanish Group Therapy Preschool 3-5 Marisa Clinical Social English 3665 Kearney Villa Road Ste 500 Individual Therapy Children 6-12 Worker San Diego, CA 92123 Outpatient Treatment Adolescents 13-17 (858)966-5980 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Family Therapy North Central Closed Yes Infants 0-3 Eberly, Kristen Licensed 1134502834 82625 English Home Visits Preschool 3-5 Clinical Social 3665 Kearny Villa Rd #500 Individual Therapy Children 6-12 Worker San Diego, CA 92123 Outpatient Treatment Knight, Other Mental 1003110396 87278 Spanish (858)966-1700 Margaret Health English Provider Sylvester, Licensed 1861834590 80826 Spanish Kristen Clinical Social English Worker Fee-For-Service Family Therapy North Central Closed Yes Infants 0-3 CurtisHughes, Other Mental 1649616376 98485 English 0 0 3/9/2021 Home Visits Preschool 3-5 Kelly Health 3665 Kearny Villa Rd 500 Individual Therapy Children 6-12 Provider San Diego, CA 92123 Outpatient Treatment (858)576-1700 Prepared By: Optum PS SD Page: 163 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Critical Incident Stress Debriefing Central Open Yes Infants 0-3 Griffith-Tate, Other Mental 1063694834 MFC83318 English 1 2 7/3/2021 OUTPATIENT Family Therapy Preschool 3-5 Elizabeth Health 3727 El Cajon Blvd, Ste 416 Group Therapy Children 6-12 Provider San Diego, CA 92105 Home Visits Adolescents 13-17 (619)665-7925 Individual Therapy Transitional Youth 18 Outpatient Treatment -22 Adults 23-59 Older Adults 60+ Fee-For-Service Medication Evaluation & Management North Central Closed Yes Transitional Youth 18 Lardon, Medical Doctor 1174630305 A48664 English 8 30 7/16/2020 Outpatient Treatment -22 Michael 3750 Convoy St Ste 318 Adults 23-59 San Diego, CA 92111 (858)292-2929 Fee-For-Service Inpatient Treatment North Central Closed Yes Transitional Youth 18 Moyer, Trenton Medical Doctor 1437180791 A78165 English Outpatient Treatment -22 3750 Convoy St Ste 318 Adults 23-59 San Diego, CA 92111 Older Adults 60+ (858)578-0858 Fee-For-Service Family Therapy North Central Closed Yes Adolescents 13-17 Mason, Licensed 1366436503 LCS17969 English Individual Therapy Transitional Youth 18 Rhonda Clinical Social 3760 Convoy St Ste 118 Outpatient Treatment -22 Worker San Diego, CA 92111 Adults 23-59 (619)251-4618 Older Adults 60+ Fee-For-Service Neuropsych. Testing North Coastal Closed Yes Children 6-12 McCullaugh, Doctor of 1184995466 PSY26244 English 24 5 1/28/2021 Outpatient Treatment Adolescents 13-17 Joseph Philosophy in 380 S Melrose Dr Ste 208 Psychological Testing Transitional Youth 18 Psychology Vista, CA 92081 -22 (619)800-5632 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Closed Yes Infants 0-3 Cox, Judi Licensed 1861619645 LCS22565 English Individual Therapy Preschool 3-5 Clinical Social 3878 Old Town Ave Ste 100 Outpatient Treatment Children 6-12 Worker San Diego, CA 92110 Adolescents 13-17 (858)752-3502 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Open Yes Preschool 3-5 Matthews, Doctor of 1134248461 PSY9560 English 6 2 8/27/2021 Individual Therapy Children 6-12 Judy Philosophy in 3910 Chapman St Outpatient Treatment Adolescents 13-17 Psychology San Diego, CA 92110 Psychological Testing Transitional Youth 18 (619)466-3749 -22 Adults 23-59 Fee-For-Service Psychological Testing Central Closed No Adolescents 13-17 Franey, Doctor of 1972603447 PSY19506 English Kristina Psychology 3919 4th Ave Ste B San Diego, CA 92103 (619)241-3165 Fee-For-Service Family Therapy North Central Closed No Preschool 3-5 Tonkovich, Licensed 1427133628 LCS21685 English Individual Therapy Children 6-12 Joelle Clinical Social 3990 Old Town Ave Ste B100 Outpatient Treatment Adolescents 13-17 Worker San Diego, CA 92110 Transitional Youth 18 (619)405-5916 -22 Adults 23-59 Fee-For-Service Psychological Testing North Central Closed No Children 6-12 Kelin, Robert Doctor of 1033256516 PSY7875 English Adolescents 13-17 Psychology 4025 Camino Del Rio S Transitional Youth 18 San Diego, CA 92108 -22 (858)268-8601 Adults 23-59 Older Adults 60+ Fee-For-Service Individual Therapy Central Open Yes Transitional Youth 18 Tadros, Emad Medical Doctor 1487696878 A49500 English 500 30 7/26/2021 Inpatient Treatment -22 4060 4th Ave Ste 102 Medication Evaluation & Management Adults 23-59 San Diego, CA 92103 Outpatient Treatment Older Adults 60+ (619)692-8118

Prepared By: Optum PS SD Page: 164 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Inpatient Treatment Central Closed No Transitional Youth 18 Lian, Thomas Medical Doctor 1770594616 G60506 English OUTPATIENT -22 4077 5th Ave Adults 23-59 San Diego, CA 92103 Older Adults 60+ (619)294-8111 Fee-For-Service Inpatient Treatment Central Closed No Adolescents 13-17 Kazanchi, Hala Medical Doctor 1316244841 A126947 Arabic Medication Evaluation & Management Transitional Youth 18 English 4077 5th Ave -22 San Diego, CA 92103 Adults 23-59 (619)948-0944 Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing Central Closed No Transitional Youth 18 Olaya, Yanira Medical Doctor 1174679047 A94208 Spanish Individual Therapy -22 English 4077 Fifth Ave Inpatient Treatment Adults 23-59 San Diego, CA 92103 Medication Evaluation & Management Older Adults 60+ (619)337-0455 Outpatient Treatment Fee-For-Service Family Therapy North Central Open Yes Infants 0-3 Searcy, Doctor of 1831115856 PSY11271 English 48 5 8/12/2021 Group Therapy Preschool 3-5 Kenneth Philosophy in 411 Camino Del Rio S Ste 200 Individual Therapy Children 6-12 Psychology San Diego, CA 92108 Outpatient Treatment Adolescents 13-17 (760)789-6389 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Open Yes Adults 23-59 Motaghed, Doctor of 1366550592 PSY12707 Farsi 24 3 5/10/2021 Individual Therapy Older Adults 60+ Hengameh Philosophy in English 411 Camino Del Rio S Ste 200 Outpatient Treatment Psychology San Diego, CA 92108 (858)922-4959 Fee-For-Service Family Therapy North Central Open Yes Adults 23-59 Lawrence, Other Mental 1164462271 MFC30684 English 24 7 5/27/2021 Individual Therapy Older Adults 60+ Lorraine Health 4145 Del Mar Trails Rd Outpatient Treatment Provider San Diego, CA 92130 (858)794-7809 Fee-For-Service Inpatient Treatment Out of County Closed Yes Infants 0-3 Grewal, Medical Doctor 1114041712 A32070 English Medication Evaluation & Management Preschool 3-5 Harinder 41715 Enterprise Cir N Ste 102 Outpatient Treatment Children 6-12 Temecula, CA 92590 Adolescents 13-17 (951)239-6891 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Individual Therapy North Central Closed Yes Adults 23-59 Goldman, Doctor of 1427150879 PSY14404 English Outpatient Treatment Older Adults 60+ Marcie Philosophy in 4231 Balboa Ave Ste 316 Psychological Testing Psychology San Diego, CA 92117 (858)272-3992 Fee-For-Service Family Therapy Central Open Yes Adolescents 13-17 Catale, Amy Licensed 1407244973 95108 English 24 2 5/25/2021 Group Therapy Clinical Social 4305 University Ave Ste 150 Individual Therapy Worker San Diego, CA 92105 Outpatient Treatment Ciobanu, Medical Doctor 1285049932 A137628 English (858)966-5484 Cosmina Frank, Guido Medical Doctor 1578608733 A86429 German 0 0 5/13/2020 English Jenkins, Medical Doctor 1255730859 A132206 English Willough Fee-For-Service Inpatient Treatment Central Closed Yes Infants 0-3 Connor, Medical Doctor 1871772129 A102033 Spanish Medication Evaluation & Management Preschool 3-5 Willard English 4305 University Ave Ste 150 Outpatient Treatment Children 6-12 San Diego, CA 92105 Adolescents 13-17 (858)966-8362 Transitional Youth 18 -22 Fee-For-Service Medication Evaluation & Management North Coastal Open Yes Infants 0-3 Matalon, Leor Medical Doctor 1114952876 A62950 English 48 4 7/16/2021 Outpatient Treatment Preschool 3-5 440 S Melrose Dr Ste 201 Children 6-12 Vista, CA 92081 Adolescents 13-17 (760)452-5150

Prepared By: Optum PS SD Page: 165 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Individual Therapy North Coastal Closed No Transitional Youth 18 Baxley, Bruce Doctor of 1154477362 PSY6399 English OUTPATIENT Inpatient Treatment -22 Philosophy in 4405 Manchester Ave Ste 206 Adults 23-59 Psychology Encinitas, CA 92024 Older Adults 60+ (858)271-3060 Fee-For-Service Family Therapy Central Open Yes Children 6-12 Corbett, Doctor of 1235239823 PSY21669 English 24 5 3/12/2021 Group Therapy Adolescents 13-17 Kimberly Psychology 4411 30th St Ste 101 Individual Therapy Transitional Youth 18 San Diego, CA 92116 Neuropsych. Testing -22 (619)298-2098 Outpatient Treatment Adults 23-59 Psychological Testing Fee-For-Service Medication Evaluation & Management North Central Closed Yes Adults 23-59 Jaffe, Medical Doctor 1225072903 A32274 Spanish Older Adults 60+ Lawrence English 4411 Morena Blvd Ste 230 San Diego, CA 92117 (619)233-1616 Fee-For-Service Family Therapy North Central Open Yes Children 6-12 Jauregui, Other Mental 1003953886 MFC46152 Spanish 24 2 2/15/2021 Group Therapy Adolescents 13-17 Cynthia Health English 4420 Hotel Circle Ct Ste 235 Individual Therapy Transitional Youth 18 Provider San Diego, CA 92108 Outpatient Treatment -22 (619)261-6481 Fee-For-Service Family Therapy North Central Closed No Infants 0-3 Valdez, Karina Other Mental 1306117809 MFT95972 Spanish 720 720 12/29/2020 Group Therapy Preschool 3-5 Health English 4420 Hotel Circle Ct Ste 235 Home Visits Children 6-12 Provider San Diego, CA 92108 Individual Therapy Adolescents 13-17 (619)737-2989 Outpatient Treatment Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Individual Therapy Central Closed Yes Adults 23-59 Goldman, Doctor of 1427150879 PSY14404 English 48 10 8/17/2021 Outpatient Treatment Older Adults 60+ Marcie Philosophy in 4452 Park Blvd Ste 101 Psychological Testing Psychology San Diego, CA 92116 (619)952-8077 Fee-For-Service Individual Therapy North Coastal Closed Yes Adults 23-59 Berenson, Doctor of 1104956556 PSY12568 English 48 3 1/5/2019 Outpatient Treatment Older Adults 60+ Laurie Psychology 450 S Melrose Dr Ste 113 Vista, CA 92081 (760)224-4333 Fee-For-Service Critical Incident Stress Debriefing East Open Yes Adults 23-59 Gardner, Doctor of 1831213958 10888 English 48 10 7/20/2021 Group Therapy Older Adults 60+ Carter Philosophy in 4700 Spring St Ste 204 Home Visits Psychology La Mesa, CA 91942 Individual Therapy (619)627-7701 Outpatient Treatment Fee-For-Service ECT (MD Only Including Consult) East Closed No Transitional Youth 18 Morache, Medical Doctor 1689621567 A66531 English Inpatient Treatment -22 Christopher 4700 Spring St Ste 220 Medication Evaluation & Management Adults 23-59 La Mesa, CA 91941 Outpatient Treatment Older Adults 60+ (619)667-3380 Fee-For-Service ECT (MD Only Including Consult) East Closed Yes Adults 23-59 Koelle, Medical Doctor 1609803824 G79002 French 48 15 7/13/2020 Inpatient Treatment Older Adults 60+ Jonathan English 4700 Spring St Ste 220 Medication Evaluation & Management Paintal, Nita Medical Doctor 1497795223 A61220 Hindi 48 15 7/13/2020 La Mesa, CA 91942 Outpatient Treatment English (619)667-3380 Zeidman, Medical Doctor 1205876786 G27873 English 48 15 7/13/2020 Heywood Fee-For-Service Family Therapy East Open Yes Infants 0-3 Chevalier, Other Mental 1518106012 MFC45461 English 48 10 8/9/2021 Group Therapy Preschool 3-5 Donna Health 4700 Spring St Ste 307 Individual Therapy Children 6-12 Provider La Mesa, CA 91942 Outpatient Treatment Adolescents 13-17 (619)328-1341 Transitional Youth 18 -22 Fee-For-Service Family Therapy East Closed Yes Preschool 3-5 Dumser, Other Mental 1568500395 MFC45707 English 48 10 7/30/2020 Group Therapy Children 6-12 Maxine Health 4700 Spring St Ste 307 Individual Therapy Adolescents 13-17 Provider La Mesa, CA 91942 Outpatient Treatment Transitional Youth 18 (619)328-1342 -22 Adults 23-59

Prepared By: Optum PS SD Page: 166 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy East Closed Yes Preschool 3-5 James, Cheryl Licensed 1104952340 LCS19265 English 0 45 12/30/2020 OUTPATIENT Group Therapy Children 6-12 Clinical Social 4730 Palm Ave Ste 203-204 Individual Therapy Adolescents 13-17 Worker La Mesa, CA 91941 Outpatient Treatment Transitional Youth 18 (619)504-1472 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy East Open Yes Children 6-12 Bair, Corina Licensed 1871905042 84394 English 48 7 4/22/2021 Inpatient Treatment Adolescents 13-17 Clinical Social 4730 Palm Ave Ste 203-204 Outpatient Treatment Transitional Youth 18 Worker La Mesa, CA 91941 -22 (619)821-8200 Adults 23-59 Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing North Central Open No Adults 23-59 Dolzonek, Doctor of 1598833501 PSY9248 English 24 7 6/8/2021 Family Therapy Older Adults 60+ Cynthia Philosophy in 4834 Diane Ave Individual Therapy Psychology San Diego, CA 92117 Outpatient Treatment (858)576-7233 Psychological Testing Fee-For-Service Psychological Testing North Central Open Yes Infants 0-3 Patel, Shamin Doctor of 1144636218 30376 English 168 0 5/17/2021 Preschool 3-5 Psychology 4907 Morena Blvd Ste 1412 Children 6-12 San Diego, CA 92117 Adolescents 13-17 (858)356-2176 Fee-For-Service Home Visits North Inland Closed No Infants 0-3 Glassman, Medical Doctor 1558409771 G55004 English Inpatient Treatment Preschool 3-5 Jaga Nath 500 3rd St Medication Evaluation & Management Children 6-12 Ramona, CA 92065 Outpatient Treatment Adolescents 13-17 (858)455-7040 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Individual Therapy East Open Yes Adults 23-59 Tess Doctor of 1306872502 PSY14628 English 48 3 9/3/2021 Outpatient Treatment Older Adults 60+ Geillinger, Philosophy in 500 Fesler St Ste 205 Margaret Psychology El Cajon, CA 92020 (619)579-9346 Fee-For-Service Critical Incident Stress Debriefing South Open No Adolescents 13-17 Rodriguez, Other Mental 1770898066 MFC51145 English 72 7 6/7/2021 Family Therapy Transitional Youth 18 Vanessa Health 5012 Central Ave Ste F Group Therapy -22 Provider Bonita, CA 91902 Individual Therapy Adults 23-59 (619)636-0909 Outpatient Treatment Older Adults 60+ Fee-For-Service ECT (MD Only Including Consult) South Open Yes Adolescents 13-17 Bindal, Ankur Medical Doctor 1588820880 A132533 English 24 1 4/2/2021 Inpatient Treatment Transitional Youth 18 502 Euclid Ave Ste 204 Medication Evaluation & Management -22 National City , CA 91950 Outpatient Treatment Adults 23-59 (619)765-2684 Older Adults 60+ Fee-For-Service Medication Evaluation & Management South Open Yes Transitional Youth 18 Bobo, Jerry Medical Doctor 1194836429 G84025 English 24 2 7/26/2021 -22 Burke, Alicia Other Mental 1891233649 95011393 English 24 2 12/7/2020 502 Euclid Ave Ste 204 Adults 23-59 Health National City, CA 91950 Provider (619)765-2684 Ellis, Susan Other Mental 1750706800 95000372 English 24 2 5/12/2021 Health Provider Maples , Randi Doctor of 1023037561 PSY22630 English 24 3 7/2/2021 Psychology Somanath, Medical Doctor 1578941415 A151443 English 24 2 8/19/2021 Keerthan Fee-For-Service Inpatient Treatment South Open Yes Transitional Youth 18 Kugel, Samuel Medical Doctor 1497813968 A54412 Portuguese 24 5 5/24/2021 Medication Evaluation & Management -22 Spanish 502 Euclid Ave Ste 305 Outpatient Treatment Adults 23-59 English National City, CA 91950 Older Adults 60+ (619)472-2600 Fee-For-Service Individual Therapy North Central Open No Adults 23-59 Zimmerman, Doctor of 1952497885 PSY11918 English 24 3 5/7/2018 Outpatient Treatment Older Adults 60+ Denise Philosophy in 5190 Governor Dr Ste 101 Psychology San Diego, CA 92122 (858)452-2233

Prepared By: Optum PS SD Page: 167 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy North Central Closed Yes Infants 0-3 Severe, Doctor of 1356362909 PSY17478 English 48 10 7/20/2020 OUTPATIENT Group Therapy Preschool 3-5 Norman Psychology 5230 Carroll Canyon Rd Ste 314 Individual Therapy Children 6-12 San Diego, CA 92121 Outpatient Treatment Adolescents 13-17 (858)735-2290 Psychological Testing Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Critical Incident Stress Debriefing North Central Open Yes Infants 0-3 Olenski, Paul Medical Doctor 1467675058 C39596 French 48 15 2/27/2018 Family Therapy Preschool 3-5 English 5252 Balboa Ave Ste 602 Individual Therapy Children 6-12 San Diego, CA 92117 Medication Evaluation & Management Adolescents 13-17 (858)587-9979 Outpatient Treatment Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Inpatient Treatment North Central Closed No Transitional Youth 18 Chiriac, Irinel Medical Doctor 1871552281 A104663 French Medication Evaluation & Management -22 German 5353 Mission Center Rd Ste 224 Outpatient Treatment Adults 23-59 English San Diego, CA 92108 Older Adults 60+ Frost, Nicholas Medical Doctor 1730129651 G22304 English 48 10 2/20/2019 (619)688-5855 Morache, Medical Doctor 1689621567 A66531 English 48 15 10/3/2019 Christopher Fee-For-Service Psychological Testing East Closed Yes Children 6-12 Carstens, Doctor of 1215924014 PSY5654 English Adolescents 13-17 Christopher Philosophy in 5360 Jackson Dr Ste 104 Psychology La Mesa, CA 91942 (619)994-6464 Fee-For-Service Family Therapy East Closed Yes Transitional Youth 18 Greene, Doctor of 1164558235 15278 English 5 7 11/30/2018 Individual Therapy -22 Valinda Philosophy in 5360 Jackson Dr Ste 112 Outpatient Treatment Adults 23-59 Psychology La Mesa, CA 91942 Older Adults 60+ (619)697-0934 Fee-For-Service Family Therapy North Central Open Yes Infants 0-3 Heard, M Other Mental 1427332576 LPCC1246 English 48 10 10/28/2019 Individual Therapy Preschool 3-5 Elaine Health 5440 Morehouse Dr Ste 3800 Outpatient Treatment Children 6-12 Provider San Diego, CA 92121 Adolescents 13-17 (760)613-8518 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Family Therapy North Coastal Open Yes Adults 23-59 Motaghed, Doctor of 1366550592 PSY12707 Farsi 24 3 5/10/2021 Individual Therapy Older Adults 60+ Hengameh Philosophy in English 550 W Vista Way Ste 107 Outpatient Treatment Psychology Vista, CA 92083 (858)922-4959 Fee-For-Service Inpatient Treatment East Closed Yes Adults 23-59 Kaiser, Medical Doctor 1245677624 A134560 English Stephen 5555 Grossmont Center Dr La Mesa, CA 91942 (619)356-3216 Fee-For-Service Inpatient Treatment East Closed Yes Transitional Youth 18 Khalafian, Medical Doctor 1780028183 A146799 Russian Medication Evaluation & Management -22 Andrey English 5555 Grossmont Center Dr Adults 23-59 La Mesa, CA 91942 Older Adults 60+ (619)483-1657 Fee-For-Service ECT (MD Only Including Consult) East Closed Yes Adults 23-59 Ganadjian, Medical Doctor 1043372394 A94325 Portuguese 48 5 7/14/2020 Inpatient Treatment Older Adults 60+ Krauz Spanish 5555 Grossmont Center Dr Medication Evaluation & Management English La Mesa, CA 91942 Outpatient Treatment (619)615-5037 Fee-For-Service Group Therapy East Closed Yes Adults 23-59 Davis, Adrian Psychiatric 1841830627 95014363 English Individual Therapy Nurse 5555 Grossmont Center Dr Medication Evaluation & Management Practitioner La Mesa, CA 91942 Outpatient Treatment Kuhn, Kirsten Psychiatric 1477174399 NP95014479 English (619)740-4800 Nurse Practitioner Rao, Sanjay Medical Doctor 1407994288 A92683 English 0 0 9/9/2021

Prepared By: Optum PS SD Page: 168 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Inpatient Treatment East Closed Yes Transitional Youth 18 Joshi, Yash Medical Doctor 1598151433 A147156 English OUTPATIENT Medication Evaluation & Management -22 5555 Grossmont Center Dr Adults 23-59 La Mesa, CA 91942 Older Adults 60+ (619)740-6000 Fee-For-Service ECT (MD Only Including Consult) East Closed Yes Transitional Youth 18 Miller, Brian Medical Doctor 1861411381 A68180 English Inpatient Treatment -22 5555 Grossmont Center Dr Medication Evaluation & Management Adults 23-59 La Mesa, CA 91942 Older Adults 60+ (858)939-4393 Fee-For-Service Home Visits East Closed Yes Transitional Youth 18 Cantley, Justin Psychiatric 1568062552 NP95015698 English Inpatient Treatment -22 Nurse 5555 Grossmont Center Dr. Medication Evaluation & Management Adults 23-59 Practitioner La Mesa, CA 91942 Older Adults 60+ (858)442-2456 Fee-For-Service Psychological Testing East Closed Yes Children 6-12 O'Meara, E. Doctor of 1124185947 PSY8654 English 24 24 5/18/2020 Adolescents 13-17 Warren Philosophy in 5575 Lake Park Wy Ste 100 Transitional Youth 18 Psychology La Mesa, CA 91942 -22 (858)566-0123 Adults 23-59 Fee-For-Service Family Therapy North Inland Closed Yes Children 6-12 Guzman, Other Mental 1093025546 LMFT80015 Spanish 500 30 6/2/2021 Group Therapy Adolescents 13-17 Mariana Health English 577 E Elder St Ste B Individual Therapy Transitional Youth 18 Provider Fallbrook, CA 92028 Outpatient Treatment -22 (760)978-8300 Adults 23-59 Fee-For-Service Outpatient Treatment North Inland Open Yes Children 6-12 Sherman, Other Mental 1497901771 37775 English 48 7 6/22/2021 Adolescents 13-17 Christina Health 577 E Elder St Ste C Transitional Youth 18 Provider Fallbrook, CA 92028 -22 (760)419-7683 Adults 23-59 Older Adults 60+ Fee-For-Service Group Therapy North Coastal Open No Transitional Youth 18 Price, Robert Other Mental 1346322906 LPCC296 English 48 7 8/5/2021 Individual Therapy -22 Health 580 Beech Ave Ste B Outpatient Treatment Adults 23-59 Provider Carlsbad, CA 92008 Older Adults 60+ (619)435-1790 Fee-For-Service Family Therapy Out of County Closed No Adolescents 13-17 Woodburn, Doctor of 1336215102 PSY5312 English 72 3 1/29/2019 Individual Therapy Transitional Youth 18 Lawrence Philosophy in 601 H St Outpatient Treatment -22 Psychology Brawley, CA 92227 Psychological Testing Adults 23-59 (858)452-1477 Older Adults 60+ Fee-For-Service Family Therapy South Open Yes Infants 0-3 Fux-Warner, Other Mental 1487811535 MFC47477 Spanish 24 24 4/13/2021 Group Therapy Preschool 3-5 Susanne Health English 610 Euclid Ave Ste 200 Individual Therapy Children 6-12 Provider National City , CA 91950 Outpatient Treatment Adolescents 13-17 (619)267-9257 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Medication Evaluation & Management South Closed Yes Transitional Youth 18 Bari, Medical Doctor 1679588370 A46396 English Outpatient Treatment -22 Mohammed 610 Euclid Ave Ste 200 Adults 23-59 Bhatia, Medical Doctor 1164464137 A74848 English National City, CA 91950 Older Adults 60+ Prakash (619)267-9257 Brener, Doctor of 1285864918 PSY31736 English 24 3 6/3/2021 Madeline Psychology Dolnak, Doctor of 1316147085 20A6059 English 48 5 3/1/2021 Douglas Osteopathic Medicine Dolnak, Doctor of 1316147085 20A6059 English 48 7 6/9/2021 Douglas Osteopathic Medicine Knisely, Psychiatric 1992276679 95011612 English Jennifer Nurse Practitioner Niday, Medical Doctor 1932429289 A113548 English Takeshia

Prepared By: Optum PS SD Page: 169 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Critical Incident Stress Debriefing North Central Open Yes Infants 0-3 Carbonell, Doctor of 1902976343 PSY19752 Spanish 24 7 8/30/2021 OUTPATIENT Family Therapy Preschool 3-5 Sonia Psychology English 6136 Mission Gorge Rd Ste 106 Group Therapy Children 6-12 San Diego, CA 92120 Individual Therapy Adolescents 13-17 (619)282-4270 Neuropsych. Testing Transitional Youth 18 Outpatient Treatment -22 Psychological Testing Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Closed Yes Adults 23-59 Anderson, Licensed 1679766380 28443 English 2 7 11/17/2020 Individual Therapy Older Adults 60+ Nicole Clinical Social 6136 Mission Gorge Rd Ste 106 Worker San Diego, CA 92120 (619)786-1351 Fee-For-Service Individual Therapy East Open Yes Infants 0-3 Saben, Medical Doctor 1669454898 G27446 English 24 5 6/2/2021 Inpatient Treatment Preschool 3-5 Laurence 615 E Lexington Ave Medication Evaluation & Management Children 6-12 El Cajon, CA 92020 Outpatient Treatment Adolescents 13-17 (619)440-7831 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy Central Open No Children 6-12 Johnson, Janet Other Mental 1427342369 MFC49995 English 48 7 8/23/2021 Group Therapy Adolescents 13-17 Health 6244 El Cajon Blvd Ste 3 Individual Therapy Transitional Youth 18 Provider San Diego, CA 92115 Outpatient Treatment -22 (619)787-7027 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy Central Closed No Children 6-12 Murphy, Kim Other Mental 1093082349 MFC50674 English 48 5 11/9/2020 Group Therapy Adolescents 13-17 Health 6244 El Cajon Blvd Ste 3 Home Visits Transitional Youth 18 Provider San Diego, CA 92115 Individual Therapy -22 (619)838-9460 Outpatient Treatment Adults 23-59 Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing Central Closed No Adults 23-59 Wilson, Larry Licensed 1528211232 LCSW28901 English 47 5 6/21/2021 Family Therapy Older Adults 60+ Clinical Social 6244 El Cajon Blvd Ste 3 Group Therapy Worker San Diego, CA 92115 Individual Therapy (619)873-5169 Outpatient Treatment Fee-For-Service Medication Evaluation & Management North Inland Closed No Infants 0-3 Gildin, Joan Medical Doctor 1396847299 G40268 English Preschool 3-5 625 Citracado Pkwy Ste 102 Children 6-12 Escondido, CA 92025 Adolescents 13-17 (760)294-9270 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy South Open Yes Adults 23-59 Jacobs, Doctor of 1093750655 PSY15774 English 36 5 7/12/2021 Group Therapy Older Adults 60+ Carolyn Psychology 625 Third Ave Individual Therapy Chula Vista, CA 91910 Outpatient Treatment (619)525-7747 Fee-For-Service Critical Incident Stress Debriefing South Open Yes Adults 23-59 Le-Hermida, Licensed 1336195908 LCS15235 Vietnamese 48 7 7/8/2021 Family Therapy Older Adults 60+ Krissie Clinical Social English 625 Third Ave Individual Therapy Worker Chula Vista, CA 91910 Outpatient Treatment (619)880-3557 Fee-For-Service Home Visits East Open Yes Transitional Youth 18 Cantley, Justin Psychiatric 1568062552 NP95015698 English Inpatient Treatment -22 Nurse 631 Taft Ave Medication Evaluation & Management Adults 23-59 Practitioner El Cajon, CA 92020 Older Adults 60+ (619)588-1761 Fee-For-Service Family Therapy North Central Closed No Children 6-12 Bradshaw, Doctor of 1629387766 PSY28095 English Group Therapy Adolescents 13-17 Kelsey Philosophy in 6386 Alvarado Ct STE 310 Neuropsych. Testing Transitional Youth 18 Psychology San Diego, CA 92120 Outpatient Treatment -22 Leal-Olmos, Licensed 1437225505 LCS25623 Spanish 48 10 8/2/2021 (619)668-6200 Psychological Testing Adults 23-59 Arlyn Clinical Social English Worker

Prepared By: Optum PS SD Page: 170 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy North Central Closed No Children 6-12 Richards, Other Mental 1467603852 MFC79599 English 400 60 12/11/2019 OUTPATIENT Group Therapy Adolescents 13-17 Karilyn Health 6386 Alvarado Ct STE 310 Neuropsych. Testing Transitional Youth 18 Provider Fee-For-Service ECT (MD Only Including Consult) North Central Open Yes Adolescents 13-17 Bindal, Ankur Medical Doctor 1588820880 A132533 English 24 1 4/2/2021 Inpatient Treatment Transitional Youth 18 Bobo, Jerry Medical Doctor 1194836429 G84025 English 24 2 7/26/2021 6496 Weathers Pl Ste 100 Medication Evaluation & Management -22 San Diego, CA 92121 Outpatient Treatment Adults 23-59 Burke, Alicia Other Mental 1891233649 95011393 English (858)925-6137 Older Adults 60+ Health Provider Ellis, Susan Other Mental 1750706800 95000372 English 24 2 5/12/2021 Health Provider Maples , Randi Doctor of 1023037561 PSY22630 English 24 3 7/2/2021 Psychology Fee-For-Service Individual Therapy North Central Closed No Adults 23-59 Dehnel, Doctor of 1346526274 PSY12603 English 24 5 12/30/2020 Outpatient Treatment Older Adults 60+ Russell Philosophy in 6510 Burgundy St Psychology San Diego, CA 92120 (619)402-7305 Fee-For-Service Family Therapy North Central Open Yes Adults 23-59 Rezai, Farideh Doctor of 1194891234 PSY9899 Farsi 48 10 8/11/2021 Individual Therapy Older Adults 60+ Philosophy in Turkish 6645 Alvarado Rd # 255 Inpatient Treatment Psychology English San Diego, CA 92120 Outpatient Treatment (619)265-8383 Fee-For-Service Individual Therapy North Coastal Closed No Adults 23-59 Donoghue, Other Mental 1518147230 MFC31758 English Outpatient Treatment Nancy Health 667 Hoska Dr Provider Del Mar, CA 92014 (760)439-6702 Fee-For-Service Family Therapy South Closed No Infants 0-3 Fux-Warner, Other Mental 1487811535 MFC47477 Spanish Group Therapy Preschool 3-5 Susanne Health English 680 Telegraph Canyon Individual Therapy Children 6-12 Provider Chula Vista, CA 91910 Outpatient Treatment Adolescents 13-17 (619)787-0682 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy South Open Yes Adults 23-59 Reimann, Doctor of 1154422087 PSY15825 English 48 2 4/5/2021 Individual Therapy Older Adults 60+ Joachim Philosophy in 690 Otay Lakes Rd Ste 210 Outpatient Treatment Psychology Chula Vista, CA 91910 Psychological Testing (619)991-0592 Fee-For-Service Psychological Testing North Coastal Open No Children 6-12 Lord, Doctor of 1659605756 PSY26507 English 24 3 3/22/2021 Adolescents 13-17 Stephanie Philosophy in 7040 Avenida Encinas Ste 104-116 Transitional Youth 18 Psychology Carlsbad, CA 92011 -22 (858)215-1432 Adults 23-59 Fee-For-Service Critical Incident Stress Debriefing North Coastal Closed No Adults 23-59 Essling, Licensed 1063726818 19847 English Family Therapy Older Adults 60+ Florence Clinical Social 707 Civic Center Dr Ste 111 Group Therapy Worker Oceanside, CA 92054 Home Visits (619)688-1035 Individual Therapy Outpatient Treatment Fee-For-Service Family Therapy East Open Yes Children 6-12 Harden, Other Mental 1093857104 MFC51329 English 36 3 5/3/2021 Individual Therapy Adolescents 13-17 Elizabeth Health 7171 Alvarado Rd Ste 100 A Outpatient Treatment Transitional Youth 18 Provider La Mesa, CA 91942 -22 (619)940-9771 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy East Open Yes Children 6-12 Downey, Other Mental 1770092843 23607 English 3 1 4/23/2021 Individual Therapy Adolescents 13-17 Michele Health 7171 Alvarado Rd Ste 100A Outpatient Treatment Transitional Youth 18 Provider La Mesa, CA 91942 -22 (619)562-2130 Adults 23-59 Older Adults 60+

Prepared By: Optum PS SD Page: 171 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy East Closed Yes Preschool 3-5 Hybarger, Doctor of 1235196411 PSY22867 English 48 91 12/21/2020 OUTPATIENT Group Therapy Children 6-12 Chad Psychology 7171 Alvarado Rd Ste 100-A Individual Therapy Adolescents 13-17 La Mesa, CA 91942 Outpatient Treatment Transitional Youth 18 (619)562-2130 -22 Adults 23-59 Fee-For-Service Individual Therapy East Open Yes Transitional Youth 18 Etchie, Samuel Medical Doctor 1124039052 A53857 English 48 15 4/8/2021 Inpatient Treatment -22 7200 Parkway Dr Ste 109 Medication Evaluation & Management Adults 23-59 La Mesa, CA 91942 Outpatient Treatment (619)303-8363 Fee-For-Service Family Therapy North Central Open Yes Infants 0-3 Osantowski, Doctor of 1619015807 PSY18794 English 48 10 6/7/2021 Group Therapy Preschool 3-5 Janay Philosophy in 7290 Navajo Rd Ste 105 Individual Therapy Children 6-12 Psychology San Diego, CA 92119 Outpatient Treatment Adolescents 13-17 (619)370-3143 Psychological Testing Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Open Yes Infants 0-3 Gordon, Susan Licensed 1770804965 LCS14677 English 48 10 7/2/2021 Group Therapy Preschool 3-5 Clinical Social 7290 Navajo Rd Ste 105 Individual Therapy Children 6-12 Worker San Diego, CA 92119 Outpatient Treatment Adolescents 13-17 (619)459-1786 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Psychological Testing North Central Open Yes Children 6-12 Williams, Doctor of 1720003056 PSY 19618 English 48 10 7/30/2021 Adolescents 13-17 Miranda Psychology 7290 Navajo Rd Ste 105 San Diego, CA 92119 (619)733-6472 Fee-For-Service Family Therapy North Central Open Yes Children 6-12 Fisher, Steven Doctor of 1598775256 PSY16754 English 24 5 6/4/2021 Group Therapy Adolescents 13-17 Psychology 7290 Navajo Rd Ste 212 Individual Therapy Transitional Youth 18 San Diego, CA 92119 Outpatient Treatment -22 (619)278-0700 Psychological Testing Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy East Open No Infants 0-3 Beltran, Eladia Other Mental 1427190636 90538 Spanish 24 7 4/9/2021 Home Visits Preschool 3-5 Health English 7317 El Cajon Blvd #142 Individual Therapy Children 6-12 Provider La Mesa, CA 91942 Outpatient Treatment Adolescents 13-17 (619)634-9112 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Family Therapy East Open No Infants 0-3 Podesta, Other Mental 1699075184 77776 Spanish 24 2 4/20/2021 Group Therapy Preschool 3-5 Marcelo Health English 7317 El Cajon Blvd #230 Home Visits Children 6-12 Provider La Mesa, CA 91942 Individual Therapy Adolescents 13-17 (619)653-6900 Outpatient Treatment Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing East Open No Children 6-12 Fishburne, Other Mental 1154614535 MFC42328 English 24 7 6/17/2021 Family Therapy Adolescents 13-17 Benjamin Health 7317 El Cajon Blvd Group Therapy Transitional Youth 18 Provider La Mesa, CA 91942 Individual Therapy -22 (619)251-9237 Outpatient Treatment Adults 23-59 Older Adults 60+ Fee-For-Service Home Visits Central Open No Adults 23-59 Amatya, Pooja Doctor of 1649631011 30268 English 1 1 5/24/2021 Individual Therapy Older Adults 60+ Psychology 750 B St Ste 2870 Inpatient Treatment Galace, Toni Doctor of 1376085027 PSY28429 English 24 10 1/31/2020 San Diego, CA 92101 Psychological Testing Psychology (619)722-0014 Geyman, Joy Doctor of 1336243013 PSY15492 English Psychology Lewis, Araseli Doctor of 1144395542 PSY25551 Spanish 24 10 5/25/2021 Philosophy in English Psychology

Prepared By: Optum PS SD Page: 172 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Home Visits Central Open No Adults 23-59 Lukasik, Mark Doctor of 1346585510 15828 English 24 2 6/11/2021 OUTPATIENT Individual Therapy Older Adults 60+ Philosophy in 750 B St Ste 2870 Inpatient Treatment Psychology San Diego, CA 92101 Psychological Testing Whittaker, Doctor of 1609200526 PSY29347 English 24 7 4/27/2021 (619)722-0014 Leah Psychology Fee-For-Service Home Visits South Open Yes Transitional Youth 18 Martir, Michel Licensed 1356528434 LCS73174 Spanish 48 10 2/25/2020 Individual Therapy -22 Clinical Social English 750 Third Ave 1373 Outpatient Treatment Adults 23-59 Worker Chula Vista, CA 91910 Older Adults 60+ (619)419-3940 Fee-For-Service Family Therapy East Open Yes Infants 0-3 Mims, Patricia Other Mental 1508418971 114090 English 8 8 7/13/2021 Group Therapy Preschool 3-5 Health 7737 Pacific Ave Home Visits Children 6-12 Provider Lemon Grove, CA 91945 Individual Therapy Adolescents 13-17 (619)439-2499 Outpatient Treatment Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Individual Therapy North Central Closed No Transitional Youth 18 Seymour, Medical Doctor 1164598207 G49897 English Inpatient Treatment -22 Peter 7777 Girard Ave Ste 203 Medication Evaluation & Management Adults 23-59 La Jolla, CA 92037 Outpatient Treatment Older Adults 60+ (858)352-6009 Fee-For-Service Critical Incident Stress Debriefing East Closed Yes Infants 0-3 Mack, Brenda Other Mental 1447371075 MFC40160 English 72 30 8/17/2021 Family Therapy Preschool 3-5 Health 7840 El Cajon Blvd Ste 201 Group Therapy Children 6-12 Provider La Mesa, CA 91942 Individual Therapy Adolescents 13-17 (619)791-6264 Outpatient Treatment Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Individual Therapy North Central Closed Yes Adolescents 13-17 Borck, Vicky Doctor of 1306939038 20A11284 English 3 2 11/7/2018 Inpatient Treatment Transitional Youth 18 Osteopathic 7850 Vista Hill Ave Medication Evaluation & Management -22 Medicine San Diego, CA 92123 Outpatient Treatment Adults 23-59 Juboori, Medical Doctor 1205984259 41074 Arabic (619)294-4119 Michael Farsi English Kosmach, Doctor of 1801233911 20A16558 English 2 2 11/12/2020 Joseph Osteopathic Medicine Liang, Yingjian Medical Doctor 1912295361 A127013 Mandarin Chinese English Nicolas, Fadi Medical Doctor 1174570279 A79360 English Nuhic, Medical Doctor 1447395181 A98099 English 48 7 5/27/2021 Zvjezdan Fee-For-Service Inpatient Treatment North Central Closed Yes Infants 0-3 Sheridan, Medical Doctor 1285773382 A97596 English Preschool 3-5 Joseph 7850 Vista Hill Ave Children 6-12 San Diego, CA 92123 Adolescents 13-17 (619)630-1036 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Individual Therapy North Central Closed Yes Transitional Youth 18 Jafar, Syed Medical Doctor 1164437521 C53226 Farsi 24 6 12/18/2019 Inpatient Treatment -22 English 7850 Vista Hill Ave Medication Evaluation & Management Adults 23-59 Paxton, Venus Medical Doctor 1689603557 A94802 English 24 7 9/14/2020 San Diego, CA 92123 Outpatient Treatment Older Adults 60+ (858)278-4110 Fee-For-Service Inpatient Treatment North Central Closed Yes Adolescents 13-17 Kazanchi, Hala Medical Doctor 1316244841 A126947 Arabic Medication Evaluation & Management Transitional Youth 18 English 7850 Vista Hill Ave -22 San Diego, CA 92123 Adults 23-59 (858)836-8434 Older Adults 60+

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Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Individual Therapy North Central Closed Yes Adolescents 13-17 Ma, Ci Medical Doctor 1801185400 A134158 Mandarin OUTPATIENT Inpatient Treatment Transitional Youth 18 Chinese 7850 Vista Hill Ave Medication Evaluation & Management -22 English San Diego, CA 92123 Outpatient Treatment Adults 23-59 (858)848-5386 Older Adults 60+ Fee-For-Service ECT (MD Only Including Consult) North Central Closed Yes Transitional Youth 18 Miller, Brian Medical Doctor 1861411381 A68180 English Inpatient Treatment -22 7850 Vista Hill Ave Medication Evaluation & Management Adults 23-59 San Diego, CA 92123 Older Adults 60+ (858)939-4393 Fee-For-Service Family Therapy North Coastal Closed No Transitional Youth 18 Giraldo, Licensed 1932235611 LCS13315 Spanish 120 21 4/26/2021 Individual Therapy -22 Fiorella Clinical Social English 8019 Paseo Aliso Outpatient Treatment Adults 23-59 Worker Carlsbad, CA 92009 Older Adults 60+ (760)519-5409 Fee-For-Service Critical Incident Stress Debriefing East Closed Yes Preschool 3-5 Avitea, Lorena Licensed 1659589588 LCS24378 Spanish 48 10 12/7/2018 Group Therapy Children 6-12 Clinical Social English 8080 La Mesa Blvd Ste 104 Individual Therapy Adolescents 13-17 Worker La Mesa, CA 91942 Outpatient Treatment Transitional Youth 18 (619)884-8468 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing East Open Yes Adults 23-59 Villafana, J Other Mental 1831228824 MFC36841 Spanish 24 5 8/16/2021 Family Therapy Older Adults 60+ Elias Health English 8080 La Mesa Blvd Ste 204 Group Therapy Provider La Mesa, CA 91942 Individual Therapy (619)540-0700 Outpatient Treatment Fee-For-Service Family Therapy East Open Yes Preschool 3-5 Marquez, Other Mental 1316188709 53516 English 24 3 7/1/2021 Group Therapy Children 6-12 Mareeh Health 8080 La Mesa Blvd Ste 205 Individual Therapy Adolescents 13-17 Provider La Mesa, CA 91942 Outpatient Treatment (619)324-3228 Fee-For-Service Family Therapy East Open Yes Infants 0-3 VonRotz, Other Mental 1598894305 MFC48878 Spanish 48 7 8/5/2021 Group Therapy Preschool 3-5 Denise Health English 8080 La Mesa Blvd Ste 205 Individual Therapy Children 6-12 Provider La Mesa, CA 91942 Outpatient Treatment (619)701-6333 Fee-For-Service Family Therapy East Open Yes Preschool 3-5 Matthews, Doctor of 1134248461 PSY9560 English 6 2 8/27/2021 Individual Therapy Children 6-12 Judy Philosophy in 8080 La Mesa Blvd Outpatient Treatment Adolescents 13-17 Psychology La Mesa, CA 91942 Psychological Testing Transitional Youth 18 (619)466-3749 -22 Adults 23-59 Fee-For-Service Outpatient Treatment South Closed Yes Infants 0-3 de Llano, Doctor of 1992752406 PSY11154 Spanish 48 15 1/15/2020 Psychological Testing Preschool 3-5 Carmen Philosophy in English 815 Third Ave Ste 107 Children 6-12 Psychology Chula Vista, CA 91911 Adolescents 13-17 (619)584-6299 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy South Open Yes Adults 23-59 Weiser, Penny Doctor of 1518180330 PSY16796 English 48 10 8/3/2021 Individual Therapy Older Adults 60+ Philosophy in 815 Third Ave Ste 107 Outpatient Treatment Psychology Chula Vista, CA 91911 (619)615-9982 Fee-For-Service Family Therapy South Open Yes Adolescents 13-17 Aguila, Lorena Doctor of 1518977925 PSY20030 Spanish 48 15 7/12/2021 Individual Therapy Transitional Youth 18 Philosophy in English 815 Third Ave Ste 111 Outpatient Treatment -22 Psychology Chula Vista, CA 91911 Adults 23-59 (858)386-3826 Fee-For-Service Family Therapy South Open No Infants 0-3 Cruz y Celis, Other Mental 1811978612 MFC35169 Spanish 47 10 4/30/2021 Group Therapy Preschool 3-5 Mauricio Health English 815 Third Ave Ste 315D Individual Therapy Children 6-12 Provider Chula Vista, CA 91911 Outpatient Treatment Adolescents 13-17 Cuevas, Licensed 1699089433 LCSW78670 Spanish (619)420-3439 Transitional Youth 18 Carmen Clinical Social English -22 Worker Adults 23-59 Older Adults 60+

Prepared By: Optum PS SD Page: 174 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy North Central Open No Adolescents 13-17 James, Rafael Licensed 1467697151 LCSW70535 English 24 2 2/25/2021 OUTPATIENT Group Therapy Transitional Youth 18 Clinical Social 8400 Miramar Rd Ste 200-220A Individual Therapy -22 Worker San Diego, CA 92126 Outpatient Treatment Adults 23-59 (858)282-6117 Older Adults 60+ Fee-For-Service Family Therapy North Inland Open No Adults 23-59 Cain, David Doctor of 1063574242 PSY6654 English 2 4 4/28/2021 Group Therapy Older Adults 60+ Philosophy in 8590 Indian Ridge Rd Individual Therapy Psychology San Marcos, CA 92078 Outpatient Treatment (760)533-9066 Fee-For-Service ECT (MD Only Including Consult) East Open Yes Adolescents 13-17 Chaudhri, Medical Doctor 1043258429 A67679 English 24 24 2/22/2021 Family Therapy Transitional Youth 18 Yashwant 8770 Cuyamaca St Ste 4 Group Therapy -22 Chauhan, Smit Medical Doctor 1700083391 123312 Hindi 48 5 9/1/2021 Santee, CA 92071 Individual Therapy Adults 23-59 English (619)596-9890 Inpatient Treatment Older Adults 60+ Medication Evaluation & Management Udoh, Ekaete Other Mental 1841472776 PA19664 English 48 15 7/19/2021 Outpatient Treatment Health Provider Fee-For-Service Critical Incident Stress Debriefing East Open Yes Adolescents 13-17 Watson, Other Mental 1447305552 MFC29331 English 48 10 6/1/2021 Family Therapy Transitional Youth 18 Lindsay Health 8770 Cuyamaca St Ste 4 Group Therapy -22 Provider Santee, CA 92071 Individual Therapy Adults 23-59 (760)419-1353 Inpatient Treatment Older Adults 60+ Outpatient Treatment Fee-For-Service Family Therapy East Closed Yes Adults 23-59 Al-Najjar, Medical Doctor 1114994548 C39744 Arabic 24 10 9/16/2020 Group Therapy Older Adults 60+ Mufid English 8772 Cuyamaca St Ste 104 Individual Therapy Bremner- Other Mental 1952838377 LMFT96645 English 24 7 9/7/2021 Santee, CA 92071 Outpatient Treatment Einsidler, Carol Health (619)258-6730 Provider Gardner, Doctor of 1831213958 10888 English 48 7 7/20/2021 Carter Philosophy in Psychology Liederman, Medical Doctor 1942237532 G7813 English Paul Fee-For-Service Family Therapy North Central Open Yes Adults 23-59 Katzman, Mara Doctor of 1043228042 PSY7741 English 48 5 8/18/2021 Individual Therapy Lynn Philosophy in 8813 Caminito Sueno Neuropsych. Testing Psychology La Jolla, CA 92037 Outpatient Treatment (858)535-1157 Psychological Testing Fee-For-Service ECT (MD Only Including Consult) East Closed No Transitional Youth 18 Miller, Brian Medical Doctor 1861411381 A68180 English Inpatient Treatment -22 8851 Center Dr Ste 200 Medication Evaluation & Management Adults 23-59 La Mesa, CA 91942 Older Adults 60+ (858)442-2456 Fee-For-Service Home Visits East Open Yes Transitional Youth 18 Cantley, Justin Psychiatric 1568062552 NP95015698 English Inpatient Treatment -22 Nurse 8851 Center Dr. Ste 200 Medication Evaluation & Management Adults 23-59 Practitioner La Mesa, CA 91942 Older Adults 60+ (858)442-2456 Fee-For-Service Critical Incident Stress Debriefing North Central Closed Yes Adults 23-59 Essling, Licensed 1063726818 19847 English 1 4 3/8/2021 Family Therapy Older Adults 60+ Florence Clinical Social 8880 Rio San Diego Ste 800 Group Therapy Worker San Diego, CA 92108 Home Visits (858)753-8773 Individual Therapy Outpatient Treatment Fee-For-Service Inpatient Treatment North Central Closed Yes Transitional Youth 18 Otis, John Medical Doctor 1235154535 G28506 English Medication Evaluation & Management -22 8950 Villa La Jolla Dr Ste A215 Outpatient Treatment Adults 23-59 La Jolla, CA 92037 Older Adults 60+ (858)457-2180 Fee-For-Service Family Therapy North Central Closed No Preschool 3-5 Bird, Anne Medical Doctor 1659539658 140988 English Group Therapy Children 6-12 8950 Villa La Jolla Dr Ste C207 Individual Therapy Adolescents 13-17 La Jolla, CA 92037 Inpatient Treatment Transitional Youth 18 (858)534-8750 Medication Evaluation & Management -22 Outpatient Treatment

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Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Critical Incident Stress Debriefing North Central Open Yes Adults 23-59 Marotta, Other Mental 1700801511 MFC32937 English 24 5 8/12/2021 OUTPATIENT Family Therapy Older Adults 60+ Antonio Health 911 Catalina Blvd Individual Therapy Provider San Diego, CA 92106 Outpatient Treatment (619)293-3741 Fee-For-Service Family Therapy North Central Open Yes Children 6-12 Pickering, Other Mental 1235210428 MFC42790 English 720 55 5/18/2021 Group Therapy Adolescents 13-17 Andrew Health 911 Catalina Blvd Individual Therapy Transitional Youth 18 Provider San Diego, CA 92106 Outpatient Treatment -22 (619)994-1307 Adults 23-59 Fee-For-Service Family Therapy North Central Closed Yes Adolescents 13-17 Woodburn, Doctor of 1336215102 PSY5312 English 24 3 1/29/2019 Individual Therapy Transitional Youth 18 Lawrence Philosophy in 9255 Towne Centre Dr Ste 370 Outpatient Treatment -22 Psychology La Jolla, CA 92121 Psychological Testing Adults 23-59 (858)452-1477 Older Adults 60+ Fee-For-Service Critical Incident Stress Debriefing North Central Open Yes Infants 0-3 Simpson, Doctor of 1669491106 7544 English 24 7 11/26/2019 Family Therapy Preschool 3-5 Suzanne Philosophy in 9255 Towne Centre Dr Ste 370 Individual Therapy Children 6-12 Psychology San Diego, CA 92121 Outpatient Treatment Adolescents 13-17 (760)720-4997 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Closed No Preschool 3-5 Schweitzer, Medical Doctor 1811263916 A136893 Spanish Individual Therapy Children 6-12 Jason English 9300 Campus Point Dr Medication Evaluation & Management Adolescents 13-17 La Jolla, CA 92037 Outpatient Treatment Transitional Youth 18 (858)534-7792 -22 Fee-For-Service Critical Incident Stress Debriefing North Inland Open Yes Adolescents 13-17 Watson, Other Mental 1447305552 MFC29331 English 48 10 6/1/2021 Family Therapy Transitional Youth 18 Lindsay Health 932 D St Ste 5 Group Therapy -22 Provider Ramona, CA 92065 Individual Therapy Adults 23-59 (760)419-1353 Inpatient Treatment Older Adults 60+ Outpatient Treatment Fee-For-Service Critical Incident Stress Debriefing North Central Open No Adolescents 13-17 Derrick, John Doctor of 1487768016 PSY11156 English 1 1 11/19/2019 Family Therapy Transitional Youth 18 Philosophy in 939 Coast Blvd Unit 4H Individual Therapy -22 Psychology La Jolla, CA 92037 Outpatient Treatment Adults 23-59 (619)750-3673 Older Adults 60+ Fee-For-Service Family Therapy North Coastal Open Yes Infants 0-3 DuVall, Other Mental 1942323332 MFC38021 English 48 10 3/4/2021 Individual Therapy Preschool 3-5 Christine Health 945 Vale Terrace Outpatient Treatment Children 6-12 Besse Provider Vista, CA 92084 Adolescents 13-17 (760)741-2660 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Family Therapy North Central Closed No Preschool 3-5 Ciobanu, Medical Doctor 1285049932 A137628 English Individual Therapy Children 6-12 Cosmina 9500 Gilman Dr Inpatient Treatment Adolescents 13-17 Sweet, Medical Doctor 1366581506 A103572 English La Jolla, CA 92093 Medication Evaluation & Management Hannah (619)543-5733 Outpatient Treatment Fee-For-Service Inpatient Treatment North Central Closed No Transitional Youth 18 Joshi, Yash Medical Doctor 1598151433 A147156 English Medication Evaluation & Management -22 9500 Gilman Dr Adults 23-59 San Diego, CA 92093 Older Adults 60+

Fee-For-Service Family Therapy North Central Closed No Preschool 3-5 Frank, Guido Medical Doctor 1578608733 A86429 German Group Therapy Children 6-12 English 9500 Gilman Dr. Individual Therapy Adolescents 13-17 La Jolla, CA 92093 Inpatient Treatment Transitional Youth 18 Medication Evaluation & Management -22 Outpatient Treatment Adults 23-59

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Type Of Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Service Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number FFS Fee-For-Service Family Therapy East Closed No Infants 0-3 Yesaie, Talin Other Mental 1831200765 MFC45648 Armenian 24 5 5/6/2020 OUTPATIENT Individual Therapy Preschool 3-5 Health English 9541 Grossmont Summit Dr Outpatient Treatment Children 6-12 Provider La Mesa, CA 91941 Adolescents 13-17 (858)472-3452 Transitional Youth 18 -22 Adults 23-59 Fee-For-Service Family Therapy North Inland Closed No Adolescents 13-17 Aguila, Lorena Doctor of 1518977925 PSY20030 Spanish 48 36 7/12/2021 Individual Therapy Transitional Youth 18 Philosophy in English 960 Los Vallecitos Blvd Ste 202 Outpatient Treatment -22 Psychology San Marcos, CA 92069 Adults 23-59 (858)386-3826 Fee-For-Service Home Visits Central Open Yes Transitional Youth 18 Olson, Trevor Doctor of 1972956373 28474 English 24 3 8/24/2021 Individual Therapy -22 Psychology 964 5th Ave Inpatient Treatment Adults 23-59 San Diego , CA 92101 Outpatient Treatment Older Adults 60+ (858)255-1658 Psychological Testing Fee-For-Service Family Therapy Central Closed Yes Adults 23-59 Goethel, Other Mental 1659888410 44534 English Group Therapy James Health 964 5th Ave Home Visits Provider San Diego, CA 92101 Outpatient Treatment (858)255-1658 Fee-For-Service Home Visits North Central Open Yes Infants 0-3 Salas, Phillip Other Mental 1134621485 119196 English Preschool 3-5 Health 9655 Granite Ridge Dr. Ste 200 OFC Children 6-12 Provider 2005 Adolescents 13-17 San Diego, CA 92123 Transitional Youth 18 (619)387-8272 -22 Adults 23-59 Older Adults 60+ Fee-For-Service Inpatient Treatment East Open Yes Transitional Youth 18 Presley, A. Doctor of 1205017688 PSY23795 English 24 3 6/21/2021 Neuropsych. Testing -22 Scott Psychology 9745 Prospect Ave Ste 202 Outpatient Treatment Adults 23-59 Santee, CA 92071 Psychological Testing Older Adults 60+ (619)456-4822 Fee-For-Service Family Therapy North Central Open Yes Transitional Youth 18 Gaston, Diane Licensed 1821605791 19064 English 24 2 9/7/2021 Group Therapy -22 Clinical Social 9815 Carroll Canyon Rd Ste 101 Individual Therapy Adults 23-59 Worker San Diego, CA 92131 Outpatient Treatment (858)201-8496 Fee-For-Service Inpatient Treatment North Central Closed Yes Adolescents 13-17 Kazanchi, Hala Medical Doctor 1316244841 A126947 Arabic Medication Evaluation & Management Transitional Youth 18 English 9888 Genesee Ave -22 San Diego, CA 92037 Adults 23-59 (858)626-4123 Older Adults 60+ Fee-For-Service Family Therapy East Open Yes Children 6-12 McIntyre, Other Mental 1548281009 MFT20237 English 24 5 7/8/2021 Individual Therapy Adolescents 13-17 Laurel Health 9905 Prospect Ave Outpatient Treatment Transitional Youth 18 Provider Santee, CA 92071 -22 (619)449-9937 Adults 23-59 Older Adults 60+ Fee-For-Service Individual Therapy North Central Open Yes Adults 23-59 Neuner, Diana Other Mental 1053641324 LMFT49581 English 48 3 4/17/2021 Health 9920 Pacific Heights Blvd Ste 150 Provider San Diego, CA 92121 (858)366-3624 Fee-For-Service Family Therapy North Coastal Closed No Adults 23-59 WisdomLazar, Licensed 1467725028 61046 English 24 7 5/14/2021 Home Visits Older Adults 60+ Shelley Clinical Social Telehealth 2210 Encinitas Blvd Ste R Individual Therapy Worker Encinitas, CA 92024 Outpatient Treatment (619)540-7811 Fee-For-Service Family Therapy Central Open Yes Infants 0-3 Trombley, Other Mental 1053694810 MFC46917 English 48 2 5/5/2021 Individual Therapy Preschool 3-5 Stephen Health Telehealth 3344 4th Ave Ste 200 Outpatient Treatment Children 6-12 Provider San Diego, CA 92103 Adolescents 13-17 (619)341-2369 Transitional Youth 18 -22 Adults 23-59 Older Adults 60+

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Prepared By: Optum PS SD Page: 179 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number CO- MCALISTER INSTITUTE, SOUTH Out Patient Substance Use Disorder program South Open Yes 18+ MONTOYA, Registered 1801428057 R1360050819 English 9/13/2021 OCCURRING BAY RRC(8521) NICHOLAS Substance Use MENTAL Disorder HEALTH/SUBST 1180 3rd Avenue, Chula Vista, 91911, Counselor ANCE USE (619)-691-8164, https:// PADILLA, Registered 1285273342 R1343830419 English 9/13/2021 DISORDER www.mcalisterinc.org LISA Substance Use Disorder Counselor RAMIREZ, Licensed 1346896826 115674 English 9/13/2021 CATHERINE Eligible Spanish Practitioner RECEPCION, Licensed 1083126130 101992 English 9/13/2021 ALEX Eligible Practitioner REESE, Registered 1760013361 10430 English 9/13/2021 JASMINE Substance Use Disorder Counselor SHARER, 1326337197 Aii057690518 89691 English 9/13/2021 DANIEL SIGARROA, Registered 1275090052 9008 English 9/13/2021 CARLOS Substance Use Spanish Disorder Counselor SMITH, Registered 1689215139 R1373031219 English 9/13/2021 AUSTEN Substance Use Disorder Counselor VILLANUEVA, 1215405394 R1268001017 English 9/13/2021 ANGELINA WRIGHT, Registered 1952955494 9861 English 9/13/2021 JENIFER Substance Use Disorder Counselor MENTAL HEALTH SYSTEMS “Mental Health/Substance Use Disorder Hybrid East Open Yes Adult (18+) BECKER, Certified 1942754460 Ci2080318 English 9/13/2021 INC.MHS- ACTION EAST consisting of a dual track - A Short- KIMBERLY Substance Use Doyle/Medi-Cal Mental Health Services Act Disorder 10201 Mission Gorge Road, Suite O (MHSA) Full Service Partnership (FSP) Counselor Santee, CA 92071619-383-6868 Assertive Community Treatment (ACT) BUSSE, Certified 1114489234 Ci19840618 English 9/13/2021 www.mhsinc.org/progr ams/ program that provides intensive community- WAYNE Substance Use based services for persons who are homeless Disorder or at risk of homelessness and have serious Counselor mental illness (SMI). In addition, the program offers a non-residential treatment and recovery COPELAND, Licensed 1215213541 English 9/13/2021 program, which consists of SUD outpatient JUDITH Eligible services in the East Region of San Diego for Practitioner TAY, adults and older adults. Screening & FERNANDEZ, Certified 1346488103 C2831214 English 9/13/2021 assessment, nonresidential substance abuse TOMAS Substance Use treatment, case management, transitional Disorder housing & other supportive services are Counselor provided.”The program works collaboratively GOMES, Licensed 1396206082 English 9/13/2021 with the local housing authority to link eligible SALLY Eligible clients to housing subsidies and resources.” Practitioner HAMEL, Registered 1407265325 R110891214 English 9/13/2021 KATHY Substance Use Disorder Counselor JACKSON, Registered 1932672342 R1316840718 English 9/13/2021 TIM Substance Use Disorder Counselor JOHNSON, Registered 1164083853 R1343470419 English 9/13/2021 CHRISTINE Substance Use Disorder Counselor

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number CO- MENTAL HEALTH SYSTEMS “Mental Health/Substance Use Disorder Hybrid East Open Yes Adult (18+) MITCHELL, Certified 1356884126 R1230300516 English 9/13/2021 OCCURRING INC.MHS- ACTION EAST consisting of a dual track - A Short- SHERYL Substance Use MENTAL Doyle/Medi-Cal Mental Health Services Act Disorder HEALTH/SUBST 10201 Mission Gorge Road, Suite O (MHSA) Full Service Partnership (FSP) Counselor ANCE USE Santee, CA 92071619-383-6868 Assertive Community Treatment (ACT) MONTOYA, Registered 1740756394 R1351670619 English 9/13/2021 DISORDER www.mhsinc.org/progr ams/ program that provides intensive community- GUADALUPE Substance Use Spanish based services for persons who are homeless Disorder or at risk of homelessness and have serious Counselor mental illness (SMI). In addition, the program offers a non-residential treatment and recovery SUTTON, Certified 1992153829 C054340518 English 9/13/2021 program, which consists of SUD outpatient LORI Substance Use services in the East Region of San Diego for Disorder TAY, adults and older adults. Screening & Counselor assessment, nonresidential substance abuse WOODS, Certified 1124553383 R1258570717 English 9/13/2021 treatment, case management, transitional DAYNA Substance Use housing & other supportive services are Disorder provided.”The program works collaboratively Counselor MENTAL HEALTH SYSTEMS “withMental the Health/Substancelocal housing authority Use Disorderto link eligible Hybrid c Central Open Yes Adult (18+) BORELLINI, Certified 1700287992 A049310418 English 9/13/2021 INC.MHS- ACTIONCENTRAL consisting of a dual track - A Short- LORENA Substance Use Spanish Doyle/Medi-Cal Mental Health Services Act Disorder 6244 El CajonBoulevard, Suites 15- (MHSA) Full Service Partnership (FSP) Counselor 18San Diego, CA 92115 619-287- Assertive Community Treatment (ACT) CHURCH, Registered 1841773686 R8781 English 9/13/2021 8225 program that provides intensive community- CAROLYN Substance Use www.mhsinc.org/listing/action-central/ based services for persons who are homeless Disorder or at risk of homelessness and have serious Counselor mental illness (SMI). In addition, the program offers a non-residential treatment and recovery LAMOUREUX, 1336604073 A09160315 English 9/13/2021 program, which consists of SUD outpatient TEDDEAUX services in the Central Region of San Diego MALVEAUX, Registered 1073083697 R1331861218 English 9/13/2021 for TAY, adults and older adults. Screening & RACHEL Substance Use assessment, nonresidential substance abuse Disorder treatment, case management, transitional Counselor housing & other supportive services are MEADOWS, Certified 1841665122 A00430119 English 9/13/2021 provided.”The program works collaboratively MICHAEL Substance Use with the local housing authority to link eligible Disorder clients to housing subsidies and resources.” Counselor SAYLOR, Licensed 1679602700 English 9/13/2021 JEFFREY Marriage and Family Therapist TURNER, Licensed 1245662485 English 9/13/2021 SHARI Eligible Practitioner ZIKOV, Registered 1386051258 RH000357111 English 9/13/2021 DRAGANA Substance Use 9 Disorder Counselor DETOXIFICATI MCALISTER INSTITUTE FOR Residential detoxification, pre-treatment, and Countywide Open by Yes Adult (18+) FERNANDEZ, Certified 1134320211 CICA0241121 English 9/13/2021 ON SERVICES TREATMENT AND referral services countywide for adults who are Authorization VALERIA Substance Use 9 EDUCATIONMITE- RESIDENTIAL experiencing social, psychological, physical Only Disorder ADULT WITHDRAWAL and/or behavioral problems resulting from Counselor MANAGEMENT current alcohol and/or other drug abuse. LILLYWHITE, Licensed 1144370453 English 9/13/2021 MARGARET Marriage and 2049 Skyline Drive Lemon Grove, CA Family 91945619-465-7303 Therapist www.mcalisterinc.org/ programs/ MOORE, Certified 1366650673 7364 English 9/13/2021 BRIAN Substance Use Disorder Counselor SALAZAR, Registered 1134598493 R6345 English 9/13/2021 JULIAN Substance Use Disorder Counselor WRIGHT, Licensed 1093265720 English 9/13/2021 CHARLENE Eligible Practitioner ZVIRZIN, 1962657684 English 9/13/2021 MICHELLE

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SUBSTANCE MENTAL HEALTH SYSTEMS Substance Use Disorder Residential Countywide Open by Yes Adult (18+) ANTOLIN Certified 1417496779 Ri287690118 English 9/13/2021 USE INC.FAMILY RECOVERY CENTER Treatment Program Authorization COLMENARE Substance Use DISORDER Only S, ERICA Disorder CLINICALLY 1100 Sportfisher DrOceanside, CA Counselor MANAGED 92054760-439-6702 APERULE, Certified 1265551493 CADC II English 9/13/2021 LOW- www.mhsinc.org TERRY Substance Use Aii053170318 INTENSITY Disorder RESIDENTIAL Counselor SERVICES SUBSTANCE BREDING , Licensed 1093820276 A03070315 15135 English 9/13/2021 USE SARAH Clinical Social DISORDER Worker PERINATAL BROWN, Registered 1871077057 R1218171115 English 9/13/2021 HEATHER Substance Use Disorder Counselor

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE CRASH INC.CRASH, INC. - SHORT Short Term (< 90 days) residential alcohol Countywide Open by Yes Adult (18+) NELSON, Registered 1578042057 English 9/13/2021 USE TERM II and other drug (AOD) treatment, recovery and Authorization ANGELA Substance Use DISORDER ancillary services for adults (18+) with alcohol Only Disorder CLINICALLY 2410 "E" StreetSan Diego, CA 92102 and other drug-induced problems. Counselor MANAGED 619-234-3346 PARKS, Registered 1518446566 English 9/13/2021 POPULATION- www.crashinc.org/st2. asp ALLIENE Substance Use SPECIFIC Disorder HIGH- Counselor INTENSITY RESIDENTIAL RIPLEY, Registered 1861974859 English 9/13/2021 SERVICES MEGHAN Substance Use Disorder Counselor ROSS, Registered 1437623865 English 9/13/2021 JENNIFER Substance Use Spanish Disorder Counselor SARVELA, Licensed 1871933127 117556 English 9/13/2021 DONNA Clinical Social Worker SMITH- Certified 1386139632 Aii055890518 English 9/13/2021 SECORD, IRIS Substance Use Disorder Counselor METROPOLITAN AREA ADVISORY Long Term (approximately 4-6 months) Countywide Open by Yes Adult (18+) ARCE, JULIE Certified 1952813495 10167 English 9/13/2021 COMMISSION (MAAC)MAAC residential alcohol and other drug (AOD) social Authorization Substance Use PROJECT CASA DE MILAGROS model recovery services for adult women (18+) Only Disorder as they recover from alcohol and other drug- Counselor 1127 South 38th StreetSan Diego, CA induced problems including AB 109 GODINEZ, Registered 1558835108 R1325721018 English 9/13/2021 92113619-262-4002 ext1701 participants in the South region. JESSICA Substance Use Spanish www.maacproject.org Disorder Counselor HESS, LAURI Certified 1710101175 6206 English 9/13/2021 Substance Use Disorder Counselor NEAL, LESLIE Registered 1700350063 9882 English 9/13/2021 Substance Use Disorder Counselor PINEDA, Registered 1538718911 R1341950319 English 9/13/2021 FAVIOLA Substance Use Spanish Disorder Counselor TURNER, Certified 1508042912 AO16140315 English 9/13/2021 SHARON Substance Use Disorder Counselor WEISS, Licensed 1205310075 125225 English 9/13/2021 KRISTINA Eligible Practitioner WOLTERS, Registered 1750939518 R1323900918 English 9/13/2021 ANNA Substance Use Disorder Counselor METROPOLITAN AREA ADVISORY Long Term (approximately 4-6 months) Countywide Open by Yes Adult (18+) AGUNDEZ, Registered 1215494372 R8518 English 9/13/2021 COMMISSION (MAAC)MAAC residential alcohol and other drug (AOD) social Authorization CARLOS Substance Use Spanish PROJECT NOSOTROS model recovery services for adult men (18+) Only Disorder as they recover from alcohol and other drug- Counselor 73 North Second Avenue, Bldg. induced problems including AB 109 ARCE, JULIE Certified 1952813495 10167 English 9/13/2021 BChula Vista, CA 91910 619-426- participants in the South region. Substance Use 4801 Disorder www.maacproject.org Counselor DIAZ, DAVID Registered 1982103842 13461-R English 9/13/2021 Substance Use Spanish Disorder Counselor

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE REGENTS OF THE UNIVERSITY OF BDRRP: Long Term (> 90 days) residential Central,North Open by Yes Adult (18+) SHEPOSH, Certified 1780179960 Ci2600315 English 9/13/2021 USE CALIFORNIA, UCSDCRASH, INC. alcohol and other drug (AOD) treatment, Central Authorization WILLIAM Substance Use DISORDER (BILL DAWSON RESIDENTIAL recovery and ancillary services for adults (18+) Only Disorder CLINICALLY RECOVERY PROGRAM, SHORT with alcohol and other drug-induced problems. Counselor MANAGED TERM I, SHORT TERM II) Short Term I & II: Short Term (< 90 days) SURATT, Certified 1316432552 LCi04490315 English 9/13/2021 POPULATION- residential alcohol and other drug (AOD) KEVIN Substance Use SPECIFIC 140 Arbor DriveSan Diego, CA 92103 treatment, recovery and ancillary services for Disorder HIGH- 619-297-5131 adults (18+) with alcohol and other drug- Counselor INTENSITY www.crashinc.org induced problems. RESIDENTIAL WARD, Licensed 1336651801 English 9/13/2021 SERVICES LINDSAY Eligible Practitioner WILKENS, Registered 1629552039 English 9/13/2021 JENNIFER Substance Use Disorder Counselor SAN DIEGO FREEDOM RANCH Long Term (approximately 4-6 months) Countywide Open by Yes Adult (18+) DEHAMM, Certified 1942769591 C13221214 English 9/13/2021 INCFREEDOM RANCH- SUD residential alcohol and other drug (AOD) social Authorization JOHN Substance Use RESIDENTIAL model recovery services to adult males as they Only Disorder recover from alcohol and other drug- induced Counselor 1777 Buckman Springs Road Campo, problems including those who may have a co- DEHAMM, Certified 1588141527 A049730518 English 9/13/2021 CA 91906619-478-5696 occurring mental health disorder, countywide. MICHAEL Substance Use www.sdfreedomranch. org/ Disorder Counselor HUFFAKER, Certified 1639655665 A020390815 English 9/13/2021 MICHAEL Substance Use Disorder Counselor JORDAN, Registered 1124686910 R1349940619 English 9/13/2021 KYLE Substance Use Disorder Counselor LEBEL, Registered 1861951410 R1327311118 English 9/13/2021 ROLAND Substance Use Disorder Counselor NOURIE, Registered 1568921112 R1327329111 English 9/13/2021 JAMES Substance Use 8 Disorder Counselor PARDUE, Registered 1831725779 R1368151019 English 9/13/2021 DAVID Substance Use Disorder Counselor SHAPLIN, Certified 1467911016 C14291214 English 9/13/2021 RICHARD Substance Use Disorder Counselor SHIELDS, Licensed 1558895342 English 9/13/2021 SEBASTIAN Eligible Spanish Practitioner SHIREY, Certified 1629554803 A048880118 English 9/13/2021 GERALD Substance Use Disorder Counselor STRACENER, Registered 1366901910 R1327301118 English 9/13/2021 ANTHONY Substance Use Disorder Counselor WATERS, Registered 1316505100 R1349930619 English 9/13/2021 MICHAEL Substance Use Disorder Counselor WILLIAMS, Certified 1346709995 6107 English 9/13/2021 RONNIE Substance Use Disorder Counselor

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE MCALISTER INSTITUTE FOR Provides outpatient substance abuse Central Open Yes Children (6-18) ABRAHAM, Licensed 1376008060 in English 9/13/2021 USE TREATMENT AND EDUCATIONMITE treatment and education to adolescents GAYLE Eligible compliance/pe DISORDER - NORTH CENTRAL TEEN between the ages of 12-17. Offers individual Practitioner nding INTENSIVE RECOVERY CENTER TRC counseling, family counseling, family groups, ALBALA, Certified 1619265451 A019720715 English 9/13/2021 OUTPATIENT random drug testing, and education classes DAVID Substance Use Spanish 7867 Convoy Court,Ste 302San consisting of life skills, relapse prevention, Disorder Diego, CA 92111 858-277-4633 goal-setting, crisis intervention, conflict Counselor www.mcalisterinc.org/ programs/ resolution for teens, introduction to recovery, health, recovery issues, employment CEJA, Registered 1386123065 R1331801218 English 9/13/2021 preparation, HIV/AIDS, and nutrition. RAMON Substance Use Spanish Disorder Counselor EMRHEIN, Certified 1881094910 C040481216 English 9/13/2021 CHARLES Substance Use Disorder Counselor MONTOYA, Registered 1235796996 R1352730619 English 9/13/2021 ELIZABETH Substance Use Disorder Counselor RICKLI, Registered 1437714409 R1352740619 English 9/13/2021 ALICIA Substance Use Disorder Counselor MENTAL HEALTH SYSTEMS Non-residential AOD treatment, recovery, and Central Open Yes Adult (18+) ALADE, Licensed 1912284647 English 9/13/2021 INC.ADULT DRUG COURT ancillary services. Services shall consist of Older Adult (60+) ERICA Eligible SERVICES - CENTRAL Outpatient Drug-Free (ODF) treatment and Practitioner intensive Day Care Habilitative (DCH) services HARRIS, Registered 1710526736 R1209670815 English 9/13/2021 3340 Kemper Street, Suite to individuals with substance-induced and co- JOSEPH Substance Use 101/209San Diego, CA 92110 619- occurring mental health disorder referred by Disorder 758-1433 the Adult Drug Court team in an environment Counselor www.mhsinc.org free of alcohol and other drugs LAWSON, Certified 1851509475 Aii053310318 English 9/13/2021 SHERRY Substance Use Disorder Counselor POSTON, Registered 1699231670 English 9/13/2021 DOUGLAS Substance Use Ci28990220 Disorder Counselor REED, Certified 1811471196 R1323400918 English 9/13/2021 ARTHUR Substance Use Disorder Counselor ROJAS, Registered 1316406788 English 9/13/2021 MIGUEL Substance Use R1338670219 Spanish Disorder Counselor THOMAS, JR., Registered 1134768765 RH000334091 English 9/13/2021 RICKY Substance Use 9 Disorder Counselor WHITEFORD, Licensed 1013060771 English 9/13/2021 KIMBERLY Eligible Practitioner MENTAL HEALTH SYSTEMS Non-residential AOD treatment, recovery, and East Open Yes Adult (18+) ACEDO, Certified 1104944586 A018870515 English 9/13/2021 INC.ADULT DRUG COURT ancillary services. Services shall consist of Older Adult (60+) VICTOR Substance Use SERVICES - EAST Outpatient Drug-Free (ODF) treatment and Disorder intensive Day Care Habilitative (DCH) services Counselor 545 North Magnolia AvenueEl Cajon, to individuals with substance-induced and co- BECK, Certified 1861988909 A050370818 English 9/13/2021 CA 92020 619-579-0947 occurring mental health disorder referred by JOANNE Substance Use www.mhsinc.org the Adult Drug Court team in an environment Disorder free of alcohol and other drugs Counselor BRYSON, Certified 1952829160 2011878 English 9/13/2021 TIMOTHY Substance Use Disorder Counselor CANNON, 1235643784 English 9/13/2021 HEATHER Prepared By: Optum PS SD Page: 200 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

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SCALES, Certified 1891357075 Ci25560618 English 9/13/2021 MYRIAM Substance Use Spanish Disorder Counselor STONE, Certified 1073737938 C3801214 English 9/13/2021 DANIEL Substance Use Disorder Counselor MENTAL HEALTH SYSTEMS Six (6)-month, non-residential, treatment & Central Open Yes Transition Age Youth CAMPBELL, Certified 1184048530 R1302430418 English 9/13/2021 INC.SERIAL INEBRIATE PROGRAM recovery program. Non-institutional, non- (16-25) MARGARET Substance Use (SIP) medical program shall consist of ODF & IOT Adult (18+) Disorder services in Central SD to TAY, adults, older Older Adult (60+) Counselor 3340 Kemper Street San Diego, CA adults. Screening & assessment, non- CASTILLON, Certified 1265772800 Aii056320518 English 9/13/2021 92110619-523-8121 residential substance abuse treatment, case CINTHIA Substance Use Spanish www.mhsinc.org management, transitional housing & other Disorder supportive services to court-sentenced serial Counselor public inebriates as alternative to custody.Case management & permanent COLE, AGNES 1518469899 English 9/13/2021 supportive housing to clients who have primary diagnosis of SUD. GOMEZ, Certified 1780080788 Ci23970518 English 9/13/2021 ROSE Substance Use Spanish Disorder American Sign Counselor Language

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE MENTAL HEALTH SYSTEMS Six (6)-month, non-residential, treatment & Central Open Yes Transition Age Youth HOWELL, Registered 1740773464 R1304110418 English 9/13/2021 USE INC.SERIAL INEBRIATE PROGRAM recovery program. Non-institutional, non- (16-25) KATRINA Substance Use DISORDER (SIP) medical program shall consist of ODF & IOT Adult (18+) Disorder INTENSIVE services in Central SD to TAY, adults, older Older Adult (60+) Counselor OUTPATIENT 3340 Kemper Street San Diego, CA adults. Screening & assessment, non- MCBRIDE, Registered 1811554975 English 9/13/2021 92110619-523-8121 residential substance abuse treatment, case ZACHARY Substance Use www.mhsinc.org management, transitional housing & other Disorder supportive services to court-sentenced serial Counselor public inebriates as alternative to custody.Case management & permanent MCLAGAN, Certified 1790804979 Aii057850518 English 9/13/2021 supportive housing to clients who have primary DENI Substance Use Spanish diagnosis of SUD. Disorder American Sign Counselor Language MERANDA, Certified 1629245345 Aii052660318 English 9/13/2021 JEANNIE Substance Use Disorder Counselor NICHOLS, Registered 1144885898 English 9/13/2021 KEVIN Substance Use Disorder Counselor NINTEMAN, Licensed 1922658764 English 9/13/2021 ROXANNE Eligible Practitioner OKTAVEC, Licensed 1801139365 English 9/13/2021 TARRAH Eligible Practitioner PAULEY, Certified 1285012039 C040900217 English 9/13/2021 SUSAN Substance Use Disorder Counselor WAGNER, Licensed 1255731402 RA9141018 English 9/13/2021 JEFFREY Eligible Practitioner UNION OF PAN ASIAN UPAC TRC provides innovative & effective North Central Open Yes Children (6-18) BOATMAN, Licensed 1831494079 English 9/13/2021 COMMUNITIESUPAC - substance abuse treatment recovery services Transition Age Youth COURTNEY Marriage and ALCOHOL/DRUG TREATMENT that empower youth to reach their full (16-25) Family potential, improve their quality of life, Therapist 3288 El CajonBoulevard, Suite #13 strengthen their families, & benefit the EXNER, Licensed 1376039016 English 9/13/2021 San Diego, CA 92102619-521-5720 communities we live in. The program offers AMELIA Eligible www.upacsd.com ODF &/or IOP services at the four (4) identified Practitioner Central Region High Schools, as well as at the program’s primary site. The program provides GREEN, Licensed 1851852982 English 9/13/2021 developmentally appropriate outpatient PAMELA Eligible substance abuse treatment services to Practitioner adolescents HONE, Licensed 1811408008 English 9/13/2021 DESTINEE Eligible Practitioner JENKINS, Licensed 1912401423 English 9/13/2021 YOLANDA Eligible Practitioner KIM, YOE JIN Registered 1932760956 English 9/13/2021 Substance Use Disorder Counselor LINDO, Licensed 1588175764 English 9/13/2021 MELISSA Eligible Tagalog Practitioner MATSUDA, Certified 1386155695 Aii058260518 English 9/13/2021 MARIKO Substance Use Disorder Counselor MEZA, Registered 1710498902 N/A English 9/13/2021 FERNANDO Substance Use Spanish Disorder Counselor

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE UNION OF PAN ASIAN UPAC TRC provides innovative & effective North Central Open Yes Children (6-18) OCHOA, Licensed 1760958573 English 9/13/2021 USE COMMUNITIESUPAC - substance abuse treatment recovery services Transition Age Youth MASAMI Eligible DISORDER ALCOHOL/DRUG TREATMENT that empower youth to reach their full (16-25) Practitioner INTENSIVE potential, improve their quality of life, OLAOSHEBIK Licensed 1689013898 English 9/13/2021 OUTPATIENT 3288 El CajonBoulevard, Suite #13 strengthen their families, & benefit the AN, SHOLA Eligible San Diego, CA 92102619-521-5720 communities we live in. The program offers Practitioner www.upacsd.com ODF &/or IOP services at the four (4) identified Central Region High Schools, as well as at the PAK, Licensed 1548479132 N/A English 9/13/2021 program’s primary site. The program provides SUNNYO Marriage and developmentally appropriate outpatient Family substance abuse treatment services to Therapist adolescents PINEDA, Licensed 1205310117 English 9/13/2021 CHRISTINA Eligible Practitioner VAHABINEJA Licensed 1962962100 English 9/13/2021 D, AMIR Eligible Practitioner WORNHAM, Certified 1699286583 Ci13400418 English 9/13/2021 JOANN Substance Use Disorder Counselor WYNGLASS, Licensed 1811346281 English 9/13/2021 RANDY Eligible Practitioner VISTA HILL FOUNDATIONVISTA Provides a comprehensive, evidence-based Central Open Yes Children (6-18) ALTAMIRANO, Registered 1407369226 8397 English 9/13/2021 HILL BRIDGES TRC TEEN BRIDGES and evidence-informed service delivery model ADRIANNA Substance Use Spanish PROGRAM with gender-specific groups and support Disorder services for at-risk youth, ages 12 - 17 and Counselor 220 Euclid Ave Ste. 40 San Diego, CA their families. Employs an integrated, HOOKS, Certified 1912286006 6947 English 9/13/2021 92114619-795-7232 multidisciplinary approach, combining KENNETH Substance Use www.vistahill.org education, intervention, treatment, referrals, Disorder family support services, and the provision of Counselor coordinated supplemental social and health care services. JAVA, Certified 1376192450 C054480518 English 9/13/2021 ROMMEL Substance Use Tagalog Disorder Counselor LEGERRETTE Registered 1558847202 8374 English 9/13/2021 , TONANTZIN Substance Use Disorder Counselor LOWIE, Licensed 1356903256 English 9/13/2021 SAMANTHA Eligible Practitioner MCSWAIN, Registered 1659934164 English 9/13/2021 VIRGINIA Substance Use Disorder Counselor PATTON, Registered 1245897057 9463 English 9/13/2021 LETRIECE Substance Use Disorder Counselor PEREZ, JOSE Licensed 1689895682 86305 English 9/13/2021 Eligible Spanish Practitioner RAMIREZ, Certified 1912114489 A049020118 English 9/13/2021 CARLOS Substance Use Spanish Disorder Counselor ULLOA, Licensed 1336429570 7540 English 9/13/2021 PATRICIA Eligible Practitioner ZAMBRANO, Registered 1194289561 English 9/13/2021 LIDIA Substance Use Spanish Disorder Counselor

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KILMER, Physician 1356346225 English 9/13/2021 RENEE KIM, CINDY Registered 1598306912 English 9/13/2021 Substance Use Korean Disorder Counselor MAHAN, 1558554196 English 9/13/2021 CELENA MOSHER, Registered 1164087102 English 9/13/2021 JAMES Substance Use Spanish Disorder Counselor

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KILMER, Physician 1356346225 English 9/13/2021 RENEE RAZO, Nurse 1083083505 English 9/13/2021 MYRNA Practitioner

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OLSON, Registered 1942763206 13057-R English 9/13/2021 GREGORY Substance Use Disorder Counselor O'ROURKE, Certified 1831327550 A012260315 English 9/13/2021 CHRIS Substance Use Disorder Counselor ROJAS, Physician 1730404344 English 9/13/2021 RENAN Spanish

SLEDGE, Certified 1932392313 CiCA01210619 English 9/13/2021 JULIA Substance Use Disorder Counselor VASQUEZ, 1205163870 English 9/13/2021 YVONNE Spanish

SAN DIEGO TREATMENT Adults (18+) in need of medication-assisted NULL Open Yes Adult (18+) BLIZZARD, Registered 1952705899 R4280115 English 9/13/2021 SERVICES, LLC.ACADIA treatment (MAT), recovery, and ancillary ALDEN Substance Use HEALTHCARE services to Medi-Cal beneficiaries, who have Disorder been diagnosed with an opioid-use disorder. Counselor 1155 Third Avenue Chula Vista, CASTRO, Certified 1598207573 C053525018 English 9/13/2021 California 91911(619) 831-6285https:// JESUS Substance Use www.sandiegoc tcs.com/location/third- Disorder avenue/ Counselor CLARKE, Physician 1215941158 English 9/13/2021 AIDAN CORONA, 1255898698 684824 English 9/13/2021 LORINDA CUERVO, Registered 1871070201 R1332221218 English 9/13/2021 BERNICE Substance Use Spanish Disorder Counselor GONZALES, Registered 1710543442 R1349250519 English 9/13/2021 ISSELA Substance Use Disorder Counselor GUERRERO , Certified 1417515032 10216 English 9/13/2021 DEBORAH Substance Use Disorder Counselor KUIT, Certified 1801166327 LR0810315 English 9/13/2021 HELENA Substance Use Disorder Counselor

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE INTERFAITH COMMUNITY Substance Use Disorder Outpatient Treatment North Inland Open by Yes Adults / Older Adults ROCHA, Registered 1205110905 R1370941119 English 9/13/2021 USE SERVICES, INTERFAITH RWC Program Authorization Ages 18+ TONY Substance Use DISORDER OUTPATIENT PROGRAMS (8703) Only Disorder OUTPATIENT Counselor 1820 S. Escondido , Escondido, WILKINS, Certified 1861709644 A017240315 English 9/13/2021 92025, (760) 489-6380, https:// WAYNE Substance Use www.interfaithservices.org/program/re Disorder covery-wellness/ Counselor WILLIAMS, Certified 1982085999 A054210419 English 9/13/2021 ROBERT Substance Use Disorder Counselor MCALISTER INSTITUTE FOR Alcohol and other drug treatment for youth. East Open Yes Children (6-18) AMES- Licensed 1932617644 English 9/13/2021 TREATMENT AND Non-residential treatment, recovery, and Adolescent (12-17) COTTO, Eligible EDUCATIONEAST COUNTY TEEN ancillary services that are non-institutional and CHRISTINA Practitioner RECOVERY CENTER non- medical. Outpatient Drug-Free (ODF) ATILANO, Registered 1285282434 R1364770919 English 9/13/2021 treatment and Intensive Out Patient (IOP) RUDY Substance Use 1600 N. Cuyamaca St El Cajon, CA services. Co-occurring services are available. Disorder 92020619-588-5361 Counselor www.mcalisterinstitute. org BAKER, TONI Registered 1396228714 R1362030919 English 9/13/2021 Substance Use Disorder Counselor CARO, Registered 1225564289 R1329501118 English 9/13/2021 SHANTAL Substance Use Spanish Disorder Counselor GONZALEZ, Licensed 1356600688 English 9/13/2021 JOEL Marriage and Spanish Family Therapist SALIH, Registered 1699332460 SUDRC 9580 English 9/13/2021 CIRWAN Substance Use Disorder Counselor MCALISTER INSTITUTE FOR Alcohol and other drug treatment for youth. East Open Yes Children (6-18) AMES- Licensed 1932617644 English 9/13/2021 TREATMENT AND Non-residential treatment, recovery, and Adolescent (12-17) COTTO, Eligible EDUCATIONEAST COUNTY TEEN ancillary services that are non-institutional and CHRISTINA Practitioner RECOVERY CENTER non- medical. Outpatient Drug-Free (ODF) ATILANO, Registered 1285282434 R1364770919 English 9/13/2021 treatment and Intensive Out Patient (IOP) RUDY Substance Use Spanish 4495 Dale Ave. Suite 100La Mesa, CA services. Co-occurring services are available. Disorder 91941 619-588-5361 Counselor www.mcalisterinc.org BAKER, TONI Registered 1396228714 R1362030919 English 9/13/2021 Substance Use Disorder Counselor CARO, Registered 1225564289 R1329501118 English 9/13/2021 SHANTAL Substance Use Spanish Disorder Counselor GONZALEZ, Licensed 1356600688 English 9/13/2021 JOEL Marriage and Spanish Family Therapist SALIH, Registered 1699332460 SUDRC 9580 English 9/13/2021 CIRWAN Substance Use Disorder Counselor MCALISTER INSTITUTE FOR Alcohol and other drug treatment for youth. East Open Yes Children (6-18) AMES- Licensed 1932617644 English 9/13/2021 TREATMENT AND Non-residential treatment, recovery, and Adolescent (12-17) COTTO, Eligible EDUCATIONEAST COUNTY TEEN ancillary services that are non-institutional and CHRISTINA Practitioner RECOVERY CENTER non- medical. Outpatient Drug-Free (ODF) ATILANO, Registered 1285282434 R1364770919 English 9/13/2021 treatment and Intensive Out Patient (IOP) RUDY Substance Use 550 Fesler Street, Suites G1, G2El services. Co-occurring services are available. Disorder Cajon, CA 92020 619-588-5361 Counselor www.mcalisterinc.org/ programs/

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE MCALISTER INSTITUTE FOR Alcohol and other drug treatment for youth. North Coastal Open Yes Children (6-18) TAPIA, Licensed 1740526805 English 9/13/2021 USE TREATMENT AND Non-residential treatment, recovery, and Adolescent (12-17) EMBRIE Marriage and DISORDER EDUCATIONNORTH COASTAL ancillary services that are non-institutional and Family OUTPATIENT TEEN RECOVERY CENTER non- medical. Outpatient Drug-Free (ODF) Therapist treatment and Intensive Out Patient (IOP) VAROND, 1316331028 English 9/13/2021 3923 Waring Road Suite DOceanside, services. Co-occurring services are available. MARISA CA 92056760-726-4451 www.mcalisterinc.org/ programs/ WILSON, 1689197386 English 9/13/2021 STEPHANY ZVIRZIN, 1962657684 English 9/13/2021 MICHELLE MCALISTER INSTITUTE FOR Alcohol and other drug treatment for youth. North Coastal Open Yes Children (6-18) COOLONG, Registered 1295226900 English 9/13/2021 TREATMENT AND Non-residential treatment, recovery, and Adolescent (12-17) VANESSA Substance Use EDUCATIONNORTH COASTAL ancillary services that are non-institutional and Disorder TEEN RECOVERY CENTER non- medical. Outpatient Drug-Free (ODF) Counselor treatment and Intensive Out Patient (IOP) DOUGLAS, Licensed 1306397260 English 9/13/2021 1601 Longhorn Dr.Vista, CA services. Co-occurring services are available. ROGER Eligible Spanish 92081(760)726-4451 Practitioner www.mcalisterinstitute. org DUENCKEL, Registered 1730645417 English 9/13/2021 KATHERINE Substance Use Disorder Counselor GAMBOA, 1033418371 AII20070218 English 9/13/2021 SEAN MELGOZA, Registered 1942788963 English 9/13/2021 MARI Substance Use Spanish Disorder Counselor NICHOLSON, Certified 1558578484 C18761214 English 9/13/2021 RAY Substance Use Disorder Counselor MCALISTER INSTITUTE FOR Women and perinatal outpatient SUD North Inland Open Yes Transition Age Youth AHKOI, Registered 1992354633 English 9/13/2021 TREATMENT AND treatment (16-25) SANDRA Substance Use EDUCATIONNORTH INLAND Adult (18+) Disorder WOMEN AND ADOLESCENT Counselor RECOVER CENTER ARELLANO, Registered 1639674583 English 9/13/2021 GRISELDA Substance Use Spanish 751 Rancheros Dr.,Suites 4 & 5 San Disorder Marcos, CA 92069760-761-0515 Counselor www.mcalisterinc.org BROESKE, Registered 1487211355 English 9/13/2021 TARYN Substance Use Disorder Counselor CAMACHO, Licensed 1609277987 LCi02960315 117687 English 9/13/2021 PATRICIA Marriage and Spanish Family Therapist DAVIDSON, Registered 1285156380 English 9/13/2021 PAMELA Substance Use Disorder Counselor HERRERA, Registered 1407414717 English 9/13/2021 YANELY Substance Use Spanish Disorder Counselor LEBLANC, Registered 1942773924 English 9/13/2021 CORTNEY Substance Use Disorder Counselor LILLYWHITE, Licensed 1144370453 English 9/13/2021 MARGARET Clinical Social Spanish Worker MARTINEZ, Registered 1518355221 English 9/13/2021 JESSICA Substance Use Disorder Counselor

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629 Third Avenue Suite C, Chula DE ANDA, Licensed 1497396527 PSB94024511 English 9/13/2021 Vista, CA 91910La Mesa, CA 91942 EDWARD Professional 619-442-0277 Clinical www.mcalisterinc.org/ programs/ Counselor

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629 Third Avenue Suite C, Chula EVANS, 1235542002 A050460918 English 9/13/2021 Vista, CA 91910La Mesa, CA 91942 KATHERINE 619-442-0277 FOLEY, 1104033026 R1331831218 English 9/13/2021 www.mcalisterinc.org/ programs/ PATRICK HARDGE, Licensed 1730556093 English 9/13/2021 CARLY Eligible Practitioner MARTINEZ, Registered 1265915466 10000 English 9/13/2021 AILYN Substance Use Disorder Counselor MORENO, 1477077378 English 9/13/2021 TINA NIMTZ, GARY 1477078194 English 9/13/2021

OCKLETREE, Registered 1407320765 English 9/13/2021 SURANEE Substance Use Disorder Counselor RAMIREZ, 1972141281 English 9/13/2021 REYNA TAPIA, Licensed 1740526805 English 9/13/2021 EMBRIE Marriage and Family Therapist TEHRANI, 1346439858 English 9/13/2021 DAVID VAROND, 1316331028 English 9/13/2021 MARISA WINGFIELD- Licensed 1477795151 24290 English 9/13/2021 RITTER, Marriage and SUSAN Family Therapist ZVIRZIN, 1962657684 English 9/13/2021 MICHELLE MCALISTER INSTITUTE, MADISON SUD Outpatient (TRC N Central) North Central Open Yes 12-17 ABRAHAM, Licensed 1376008060 in English 9/13/2021 HIGH TRC(8597) GAYLE Eligible compliance/pe Practitioner nding 4834 Doliva Drive, San Diego, 92117, ALBALA, Certified 1619265451 A019720715 English 9/13/2021 (858) 277-4633, DAVID Substance Use Spanish Disorder Counselor CEJA, Registered 1386123065 R1331801218 English 9/13/2021 RAMON Substance Use Spanish Disorder Counselor EMRHEIN, Certified 1881094910 C040481216 English 9/13/2021 CHARLES Substance Use Disorder Counselor MONTOYA, Registered 1235796996 R1352730619 English 9/13/2021 ELIZABETH Substance Use Disorder Counselor RICKLI, Registered 1437714409 R1352740619 English 9/13/2021 ALICIA Substance Use Disorder Counselor

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EVANS, 1235542002 A050460918 English 9/13/2021 KATHERINE FOLEY, 1104033026 R1331831218 English 9/13/2021 PATRICK HARDGE, Licensed 1730556093 English 9/13/2021 CARLY Eligible Practitioner MAGRUDER, 1124449517 English 9/13/2021 KELLEN MARTINEZ, Registered 1265915466 10000 English 9/13/2021 AILYN Substance Use Disorder Counselor MORENO, 1477077378 English 9/13/2021 TINA NIMTZ, GARY 1477078194 English 9/13/2021

OCKLETREE, Registered 1407320765 R1342910419 English 9/13/2021 SURANEE Substance Use Disorder Counselor

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE NORTH COUNTY LIFELINE INC, This program will serve misdemeanor North Coastal Open Yes Adults 18 years old SORDEN, Registered 1447814058 English 9/13/2021 USE NCL-OCEANSIDE(9092) offenders who have high need for substance and older MARIA Substance Use Spanish DISORDER use disorder treatment, case management, Disorder OUTPATIENT 707 Oceanside Blvd, Oceanside, rapid re-housing, and community-based Counselor 92054, (760) 757-0118, https:// supportive services for recovery, rehabilitation, VENANCIO, Registered 1538655956 English 9/13/2021 www.nclifeline.org/ and recidivism reduction. MARISA Substance Use Spanish Disorder Counselor NORTH COUNTY LIFELINE INC, This program will serve misdemeanor North Inland Open Yes Adults 18 years old COOK, Registered 1548821200 English 9/13/2021 NCL-SAN MARCOS(8718) offenders who have high need for substance and older CHRISTINE Substance Use use disorder treatment, case management, Disorder 334 Via Vera Cruz, San Marcos, rapid re-housing, and community-based Counselor 92078, (760) 842-6270, https:// supportive services for recovery, rehabilitation, JOSEPH, Licensed 1992246029 English 9/13/2021 www.nclifeline.org/ and recidivism reduction. DENESIA Eligible Practitioner MELENDEZ, Registered 1972083871 English 9/13/2021 KATIE Substance Use (CATHERINE) Disorder Counselor OLSON, Registered 1265080642 English 9/13/2021 VANESSA Substance Use Disorder Counselor ROBLES, Licensed 1164065835 English 9/13/2021 REGINA Eligible Spanish Practitioner SORDEN, Registered 1447814058 English 9/13/2021 MARIA Substance Use Spanish Disorder Counselor VENANCIO, Registered 1538655956 English 9/13/2021 MARISA Substance Use Spanish Disorder Counselor NORTH COUNTY LIFELINE A non-residential Substance Use Disorder North Open Yes Adult (18+) COOK, Registered 1548821200 English 9/13/2021 INC.NORTH COUNTY LIFELINE (SUD) treatment and recovery services Coastal,North Older Adult (60+) CHRISTINE Substance Use program with participants 18 yrs. and older Inland Disorder 200 Michigan Ave.Vista, CA 92084760 who are impacted by Proposition 47. This Counselor -726-4900 program will serve misdemeanor offenders JOSEPH, Licensed 1992246029 English 9/13/2021 www.nclifeline.org who have high need for substance use DENESIA Eligible disorder treatment, case management, rapid Practitioner re-housing, and community-based supportive services for recovery, rehabilitation, and MELENDEZ, Registered 1972083871 English 9/13/2021 recidivism reduction. KATIE Substance Use (CATHERINE) Disorder Counselor OLSON, Registered 1265080642 English 9/13/2021 VANESSA Substance Use Disorder Counselor ROBLES, Licensed 1164065835 English 9/13/2021 REGINA Eligible Spanish Practitioner SORDEN, Registered 1447814058 English 9/13/2021 MARIA Substance Use Spanish Disorder Counselor VENANCIO, Registered 1538655956 English 9/13/2021 MARISA Substance Use Spanish Disorder Counselor SECOND CHANCE, SAN DIEGO RE- The San Diego Re-Entry Court Program Countywide Open Yes 18+ PANGAN, 1902467947 English 9/13/2021 ENTRY COURT PROG(8964) provides case management, non-residential JOSEPH substance use and co-occurring treatment RODRIGUES, Registered 1831314244 R1375180120 English 9/13/2021 6145 Imperial Ave, San Diego, 92114, services, and random drug testing services to ANTHONY Substance Use (619) 234-8888, justice-involved persons who have Substance Disorder www.secondchanceprogram.org Use Disorder and co-occurring problems. Counselor

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE UNION OF PAN ASIAN SUD treatment and recovery services to Central Open Yes Transition Age Youth BOATMAN, Licensed 1831494079 English 9/13/2021 USE COMMUNITIESUNION OF PAN culturally and linguistically diverse alcohol and (16-25) COURTNEY Marriage and DISORDER ASIAN COMMUNITIES NON- other drug-using Asian and Pacific Islander, Adult (18+) Family OUTPATIENT RESIDENTIAL SUD RECOVERY refugees, immigrants, other underserved Therapist CENTER adults and Transitional Age Youth (TAY) in the EXNER, Licensed 1376039016 English 9/13/2021 Central region. AMELIA Eligible 3288 El CajonBoulevard, Suite #13 Practitioner San Diego, CA 92104619-521-5720 www.upacsd.com/inde x.php/adult- GREEN, Licensed 1851852982 English 9/13/2021 alcohol- drug-treatment-and- recovery- PAMELA Eligible program/ Practitioner HONE, Licensed 1811408008 English 9/13/2021 DESTINEE Eligible Practitioner JENKINS, Licensed 1912401423 English 9/13/2021 YOLANDA Eligible Practitioner KIM, YOE JIN Registered 1932760956 English 9/13/2021 Substance Use Disorder Counselor LINDO, Licensed 1588175764 English 9/13/2021 MELISSA Eligible Tagalog Practitioner MATSUDA, Certified 1386155695 Aii058260518 English 9/13/2021 MARIKO Substance Use Disorder Counselor MEZA, Registered 1710498902 N/A English 9/13/2021 FERNANDO Substance Use Spanish Disorder Counselor OCHOA, Licensed 1760958573 English 9/13/2021 MASAMI Eligible Practitioner OLAOSHEBIK Licensed 1689013898 English 9/13/2021 AN, SHOLA Eligible Practitioner PAK, Licensed 1548479132 N/A English 9/13/2021 SUNNYO Marriage and Family Therapist PINEDA, Licensed 1205310117 English 9/13/2021 CHRISTINA Eligible Practitioner VAHABINEJA Licensed 1962962100 English 9/13/2021 D, AMIR Eligible Practitioner WORNHAM, Certified 1699286583 Ci13400418 English 9/13/2021 JOANN Substance Use Disorder Counselor WYNGLASS, Licensed 1811346281 English 9/13/2021 RANDY Eligible Practitioner VISTA HILL FOUNDATION VHF Parent Care East is a Perinatal Women's East Open Yes Transition Age Youth ALCARAZ, Licensed 1114583010 English 9/13/2021 PARENTCARE EAST Program that serves women over the age of (16-25) LAURIE Eligible 15 years old. We provide IOT & ODF Adult (18+) Practitioner 4990 Williams Avenue La Mesa, CA Outpatient Services to women that meet ALFORD, Licensed 1053820043 English 9/13/2021 91942619-668-4200 medical necessity for Alcohol & Drug JESSICA Eligible www.vistahill.org Treatment. We provide a therapeutic childcare, Practitioner door to door transportation to reduce barriers to treatment, psychiatric care, emergency ALZUA OHL, 1235554775 7382 English 9/13/2021 food, yoga, & wraparound services to help the JAYNE client become successful. We have a strong ANDERSON, Registered 1366093429 English 9/13/2021 alumni component that meets monthly & a ASHLEY Substance Use Sober Living Facility. Disorder Counselor

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FARRIOR, Licensed 1013494749 English 9/13/2021 VANESSA Eligible Practitioner GONSALVES, Certified 1811257066 AO42881016 English 9/13/2021 VIRGINIA Substance Use Disorder Counselor HARRISON, Licensed 1326236993 English 9/13/2021 MICHELLE Marriage and Family Therapist PARGO, LENA Registered 1164084257 English 9/13/2021 Substance Use Disorder Counselor REYNOLDS, 1962690347 C30181214 English 9/13/2021 EDNA BETH RIOS, Licensed 1457549321 English 9/13/2021 NOREEN Marriage and Family Therapist RYAN, Certified 1285034652 7168 English 9/13/2021 PATRICIA Substance Use Disorder Counselor TAKEDA, Licensed 1417472226 English 9/13/2021 GLORIA Marriage and Family Therapist THOMPSON, Certified 1962872952 8560 English 9/13/2021 CASSANDRA Substance Use Disorder Counselor ZAPPELLI, Certified 1902453723 C2791214 English 9/13/2021 NICOLE Substance Use Disorder Counselor VISTA HILL FOUNDATION, Non residential Substance Use Disorder Central Open Yes 12-17 Years (up to JAVA, Certified 1376192450 C054480518 English 9/13/2021 VISTAHILL TRC LINCOLN HIGH (SUD) treatment and recovery services to Southeast 18 ROMMEL Substance Use Tagalog (8594) adolescents, twelve (12) through seventeen if they are attending Disorder (17) years of age with alcohol and other drug- school) Counselor 4777 Imperial Ave, San Diego, 92113, induced issues. LOWIE, Licensed 1356903256 90499 English 9/13/2021 (619) 795-7232, http:// SAMANTHA Eligible www.vistahill.org/programs- Practitioner services/bridges-teen-recovery-center/ PATTON, Registered 1245897057 9463 English 9/13/2021 LETRIECE Substance Use Disorder Counselor ULLOA, Licensed 1336429570 7540 English 9/13/2021 PATRICIA Eligible Practitioner

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE VISTA HILL FOUNDATION, Non residential Substance Use Disorder Central Open Yes 12-17 Years (up to ZAMBRANO, Registered 1194289561 R1336450119 English 9/13/2021 USE VISTAHILL TRC LINCOLN HIGH (SUD) treatment and recovery services to Southeast 18 LIDIA Substance Use Spanish DISORDER (8594) adolescents, twelve (12) through seventeen if they are attending Disorder OUTPATIENT (17) years of age with alcohol and other drug-i school) Counselor VISTA HILL FOUNDATION, Non residential Substance Use Disorder Central Open Yes 12-17 Years (up to JAVA, Certified 1376192450 C054480518 English 9/13/2021 VISTAHILL TRC MORSE HIGH(8588) (SUD) treatment and recovery services to Southeast 18 ROMMEL Substance Use Tagalog adolescents, twelve (12) through seventeen if they are attending Disorder 6905 Skyline Dr, San Diego, 92114, (17) years of age with alcohol and other drug- school) Counselor (619)-795-7232, http:// induced issues. LOWIE, Licensed 1356903256 90499 English 9/13/2021 www.vistahill.org/programs- SAMANTHA Eligible services/bridges-teen-recovery-center/ Practitioner PATTON, Registered 1245897057 9463 English 9/13/2021 LETRIECE Substance Use Spanish Disorder Counselor ULLOA, Licensed 1336429570 7540 English 9/13/2021 PATRICIA Eligible Spanish Practitioner ZAMBRANO, Registered 1194289561 R1336450119 English 9/13/2021 LIDIA Substance Use Spanish Disorder Counselor VISTA HILL FOUNDATIONVISTA Contractor shall provide non-residential North Central Open Yes Adult (18+) ALATORRE, Registered 1104366822 RADT English 9/13/2021 HILL FOUNDATION BRIDGES substance use disorder (SUD) treatment and HUMBERTO Substance Use #R126379091 Spanish NORTH CENTRAL RRC recovery services to adults aged 18 and over Disorder 7 with substance use disorder problems, Counselor 3148 Midway Drive,Suite 113San including co-occurring mental health disorders. ALCARAZ, Registered 1215589973 RADT English 9/13/2021 Diego, CA 92110 619-363-0853 LINDSAY Substance Use #R135296061 www.vistahill.org Disorder 9 Counselor ALLEN, Certified 1437455813 LAADC, English 9/13/2021 CLAUDETTE Substance Use ICAADC Disorder LR01510515 Counselor ANTHONY, Registered 1639702210 RADT English 9/13/2021 SAMANTHA Substance Use #R122363031 Disorder 6 Counselor BALTIERRA, Registered 1720631369 RADT English 9/13/2021 ELVIRA Substance Use #R135104061 Spanish Disorder 9 Counselor CASTELLANO Licensed 1033484530 English 9/13/2021 S, GRACIELA Marriage and Spanish Family Therapist COTA, Certified 1659883429 CADCII, English 9/13/2021 JAVIER Substance Use ICADC Spanish Disorder #A050350818 Counselor DIETZEN, Licensed 1851933683 English 9/13/2021 JENNIFER Eligible Practitioner HALL, MARIA Certified 1225301864 SUDCC II English 9/13/2021 Substance Use #9430 Spanish Disorder Counselor KING, Registered 1467914895 RADT English 9/13/2021 AMANDA Substance Use #R134220031 Disorder 9 Counselor LEGERRETTE Registered 1558847202 SUDRC #8347 English 9/13/2021 , TONANTZIN Substance Use Spanish Disorder Counselor

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Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE UNION OF PAN ASIAN UPAC New Leaf Recovery Center is a Co- Central Open Yes Adults 18 years old AHUMADA, Licensed 1326445172 English 9/13/2021 USE COMMUNITIES, NEW LEAF occurring Disorder (COD) satellite program and older KARINA Eligible Spanish DISORDER RECOVERY CENTER(8958) that is SD/MC and DMC certified. This Practitioner OUTPATIENT program serves clients with complex, co- ASSENTI, Licensed 1730662032 English 9/13/2021 CO- 3539 College Ave, San Diego, 92115, occurring mental health problems and ERICA Eligible OCCURRING (619) 818-3788, http:// substance use disorders countywide. Practitioner MENTAL www.upacsd.com/index.php/services- HEALTH/SUBST 2/adult-older-adult-mental- BROWN, Registered 1811471626 R1329551118 English 9/13/2021 ANCE USE health/upac-new-leaf-recovery-center/ JENNIFER Substance Use DISORDER Disorder Counselor CLARK, Licensed 1881169860 English 9/13/2021 VANESSA Eligible Practitioner ESCALANTI, 1801355425 R1235121016 English 9/13/2021 THEODORE JARAMILLO, 1306356597 A055190919 English 9/13/2021 RAYMOND JOAQUIN, JIM Certified 1386103018 B0013112019 English 9/13/2021 Substance Use Tagalog Disorder Counselor KASSEL, 1023651692 English 9/13/2021 ROBERT JOSEPH KIM, ESTHER Licensed 1295243954 English 9/13/2021 Eligible Korean Practitioner LIU, CHANG Registered 1093369878 English 9/13/2021 Substance Use Disorder Counselor MARTIN, Certified 1356511091 Ci21071118 English 9/13/2021 GABRIEL Substance Use Spanish Disorder Counselor NOLAN, Registered 1922512565 R1246620317 English 9/13/2021 ELIZABETH Substance Use Disorder Counselor PEREZ, Certified 1558872739 R1238751216 English 9/13/2021 SOLOMON Substance Use Spanish Disorder Counselor RIDLEY, Licensed 1801454426 English 9/13/2021 RENEE Eligible Practitioner STEFFAN, Licensed 1669037883 English 9/13/2021 JESSICA Marriage and Family Therapist WATERS, 1588960850 A018100315 English 9/13/2021 BARABARA UNION OF PAN ASIAN UPAC New Leaf Recovery Center is a Co- South Open Yes Adults 18 years old AHUMADA, Licensed 1326445172 83517 English 9/13/2021 COMMUNITIES, NEW LEAF occurring Disorder (COD) satellite program and older KARINA Eligible Spanish RECOVERY SOUTH(8666) that is SD/MC and DMC certified. This Practitioner program serves clients with complex, co- ASSENTI, Licensed 1730662032 109895 English 9/13/2021 855 3rd Avenue, Chula Vista, 91911, occurring mental health problems and ERICA Eligible (619) 271-7992, http:// substance use disorders countywide. Practitioner www.upacsd.com/index.php/services- 2/adult-older-adult-mental- BROWN, Registered 1811471626 R1329551118 English 9/13/2021 health/upac-new-leaf-recovery-center/ JENNIFER Substance Use Disorder Counselor ESCALANTI, 1801355425 R1235121016 English 9/13/2021 THEODORE JARAMILLO, 1306356597 R1200720515 English 9/13/2021 RAYMOND Prepared By: Optum PS SD Page: 239 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE UNION OF PAN ASIAN UPAC New Leaf Recovery Center is a Co- South Open Yes Adults 18 years old KASSEL, 1023651692 English 9/13/2021 USE COMMUNITIES, NEW LEAF occurring Disorder (COD) satellite program and older ROBERT DISORDER RECOVERY SOUTH(8666) that is SD/MC and DMC certified. This JOSEPH OUTPATIENT program serves clients with complex, co- KIM, ESTHER Licensed 1295243954 5428 English 9/13/2021 CO- 855 3rd Avenue, Chula Vista, 91911, occurring mental health problems and Eligible Korean OCCURRING (619) 271-7992, http:// substance use disorders countywide. Practitioner MENTAL www.upacsd.com/index.php/services- HEALTH/SUBST 2/adult-older-adult-mental- LIU, CHANG Registered 1093369878 English 9/13/2021 ANCE USE health/upac-new-leaf-recovery-center/ Substance Use DISORDER Disorder Counselor NOLAN, Registered 1922512565 R1246620317 English 9/13/2021 ELIZABETH Substance Use Disorder Counselor PEREZ, Certified 1558872739 R1238751216 English 9/13/2021 SOLOMON Substance Use Spanish Disorder Counselor RIDLEY, Licensed 1801454426 113375 English 9/13/2021 RENEE Eligible Practitioner STEFFAN, Licensed 1669037883 117187 English 9/13/2021 JESSICA Marriage and Family Therapist WATERS, 1588960850 A018100315 English 9/13/2021 BARABARA UNION OF PAN ASIAN Co-Occurring Disorders (COD) component Countywide Open Yes Adult (18+) AHUMADA, Licensed 1326445172 83517 English 9/13/2021 COMMUNITIESCOUNTYWIDE COD that provides intensive outpatient behavioral KARINA Eligible Spanish PROGRAM health rehabilitation and recovery services to Practitioner clients who are dually diagnosed (substance ASSENTI, Licensed 1730662032 109895 English 9/13/2021 3998 Vista Way, Ste. EOceanside, CA use disorders (SUD) and SMI) and exhibiting ERICA Eligible 92056760 complex co-occurring disorders and who have Practitioner www.upacsd.com/inde been unsuccessful in traditional substance use x.php/services-2/adult- older-adult- disorder and/or mental health treatment BENNETT, Certified 1407277114 A02370315 English 9/13/2021 mental- health/upac-new-leaf- program(s). ANDREW Substance Use recovery-center/ Disorder Counselor BROWN, Registered 1811471626 R1249710417 English 9/13/2021 JENNIFER Substance Use Disorder Counselor CLARK, Licensed 1881169860 112310 English 9/13/2021 VANESSA Eligible Practitioner ESCALANTI, Certified 1801355425 R1235121016 English 9/13/2021 THEODORE Substance Use Disorder Counselor JARAMILLO, 1306356597 R1200720515 English 9/13/2021 RAYMOND KASSEL, 1023651692 English 9/13/2021 ROBERT JOSEPH KIM, ESTHER Licensed 1295243954 5428 English 9/13/2021 Eligible Korean Practitioner LIU, CHANG Registered 1093369878 English 9/13/2021 Substance Use Disorder Counselor NOLAN, Registered 1922512565 R1246620317 English 9/13/2021 ELIZABETH Substance Use Disorder Counselor

Prepared By: Optum PS SD Page: 240 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Type of Service Organization Program Services Regions Open/Closed Meets ADA Population Rendering Specialty NPI California California Languages Urgent Non-Urgent Wait Times as Served to New Guidelines Provider Certification Practitioner Appointment Appointment of Referrals Y/N Number License [HRS] [Bus. Days] Number SUBSTANCE UNION OF PAN ASIAN Co-Occurring Disorders (COD) component Countywide Open Yes Adult (18+) PEREZ, Certified 1558872739 R1238751216 English 9/13/2021 USE COMMUNITIESCOUNTYWIDE COD that provides intensive outpatient behavioral SOLOMON Substance Use Spanish DISORDER PROGRAM health rehabilitation and recovery services to Disorder OUTPATIENT clients who are dually diagnosed (substance Counselor CO- 3998 Vista Way, Ste. EOceanside, CA use disorders (SUD) and SMI) and exhibiting RIDLEY, Licensed 1801454426 113375 English 9/13/2021 OCCURRING 92056760 complex co-occurring disorders and who have RENEE Eligible MENTAL www.upacsd.com/inde been unsuccessful in traditional substance use Practitioner HEALTH/SUBST x.php/services-2/adult- older-adult- disorder and/or mental health treatment ANCE USE mental- health/upac-new-leaf- program(s). SANSOUCI, Registered 1932675329 R1311600618 English 9/13/2021 DISORDER recovery-center/ NICOLE Substance Use Disorder Counselor STEFFAN, Licensed 1669037883 117187 English 9/13/2021 JESSICA Marriage and Family Therapist WATERS, 1588960850 A02370315 English 9/13/2021 BARABARA SUBSTANCE TWELFTH STEP HOUSE Residential alcohol and other drug (AOD) Central Open by Yes Adult (18+) BANVILLE, Certified 1750897120 7331 English 9/13/2021 USE INC.HEARTLAND HOUSE treatment and recovery facility for adults age Authorization LAFITTE Substance Use DISORDER 18+ with alcohol and/or other drug-induced Only Disorder OUTPATIENT 5855 Streamview DriveSan Diego, CA problems, including those who may have a co- Counselor SUBSTANCE 92105 619-287-5460 occurring mental health disorder. DINKINS, Licensed 1578100582 English 9/13/2021 USE www.heartlandhouse.o rg MIRANDA Eligible DISORDER Practitioner CLINICALLY MANAGED FADDIS, Registered 1053823385 R1255650617 English 9/13/2021 HIGH- KAREN Substance Use INTENSITY Disorder RESIDENTIAL Counselor SERVICES GREEN, Licensed 1336367333 LR04670815 English 9/13/2021 ERICA Clinical Social Worker JOLLY, BECK Certified 1417441072 8872 English 9/13/2021 Substance Use Disorder Counselor MCDANIEL, Physician 1851432900 English 9/13/2021 MICHAEL PETERSEN, Registered 1982185088 C7661214 English 9/13/2021 NINA Substance Use Disorder Counselor REGALIA, Certified 1417123951 LCi12530618 English 9/13/2021 SUSAN Substance Use Disorder Counselor SUBSTANCE HEALTH RIGHT 360NORTH Substance use disorder residential treatment Countywide Open by Yes Adult (18+) AGADZHANO Registered 1427699982 95170880 English 9/13/2021 USE COUNTY SERENITY HOUSE program Authorization VA, IVETA Nurse DISORDER Only ARAIZA, Registered 1255990271 R1339730319 English 9/13/2021 PERINATAL 1341 N Escondido BlvdEscondido, CA VANESSA Substance Use 92026760-317-9117 Disorder www.healthright360.or g Counselor BATTLE, 1336794700 219896 English 9/13/2021 ANNARITA CALDER, Licensed 1417599952 English 9/13/2021 DANIELLE Eligible Practitioner CANNIZZO, Registered 1194379552 R1367231019 English 9/13/2021 DIANA Substance Use Disorder Counselor CHAGNON, Licensed 1518515303 English 9/13/2021 KILEY Eligible Practitioner

Prepared By: Optum PS SD Page: 241 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Prepared By: Optum PS SD Page: 243 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

NASH, Registered 1215308481 R1347830519 English 9/13/2021 JANNASHAA Substance Use Disorder Counselor RICH, Registered 1275005993 R1338820219 English 9/13/2021 MARGARET Substance Use Disorder Counselor RIVAS, Registered 1083179733 R1340980319 English 9/13/2021 CLAUDIA Substance Use Spanish Disorder Counselor RODRIGUEZ, Certified 1174727358 9633 English 9/13/2021 KAREN Substance Use Disorder Counselor RODRIGUEZ, Registered 1407488570 R1376870120 English 9/13/2021 SHANELL Substance Use Spanish Disorder Counselor

Prepared By: Optum PS SD Page: 244 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

FARRIOR, Licensed 1013494749 English 9/13/2021 VANESSA Eligible Practitioner REYNOLDS, 1962690347 C30181214 English 9/13/2021 EDNA BETH RUELAS, Registered 1235785668 R1357890819 English 9/13/2021 LAURA Substance Use Spanish Disorder Counselor TALBOTT, Registered 1902348295 R1228900416 English 9/13/2021 BLANCA Substance Use Spanish Disorder Counselor WHITACRE, Registered 1184263469 English 9/13/2021 REBECCA Substance Use Disorder Counselor

Prepared By: Optum PS SD Page: 245 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Prepared By: Optum PS SD Page: 246 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT County of San Diego Behavioral Health Services Provider Directory

Prepared By: Optum PS SD Page: 247 of 247 Updated: 9/13/2021 Data Source= CCBH, TRES, SanWITS and SD County Report SOC-2 NACT