Provider Demographics
NPI:1306693908
Name:HOPE & HEART PSYCHIATRY
Entity type:Organization
Organization Name:HOPE & HEART PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADALYN
Authorized Official - Middle Name:JASMINE
Authorized Official - Last Name:COSENSCI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP PMHNP BC
Authorized Official - Phone:619-267-9257
Mailing Address - Street 1:770 1ST AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-6170
Mailing Address - Country:US
Mailing Address - Phone:619-292-8304
Mailing Address - Fax:
Practice Address - Street 1:770 1ST AVE STE 250
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-6170
Practice Address - Country:US
Practice Address - Phone:619-292-8304
Practice Address - Fax:619-393-0780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty