Provider Demographics
NPI:1154116895
Name:SACRED PSYCHIATRIC NURSING SERVICES INC
Entity type:Organization
Organization Name:SACRED PSYCHIATRIC NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOORSABA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHRAMZI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:858-610-2408
Mailing Address - Street 1:3954 MURPHY CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4418
Mailing Address - Country:US
Mailing Address - Phone:858-251-7370
Mailing Address - Fax:858-724-1426
Practice Address - Street 1:3954 MURPHY CANYON RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4418
Practice Address - Country:US
Practice Address - Phone:858-251-7370
Practice Address - Fax:858-724-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty