Ms. Mary J Tichacek
RN, PMHNP-BC, PMHCNS | Nurse Practitioner
11515 El Camino Real Ste 100, San Diego
California, 92130-3034
858-279-1223
Ms. Mary J Tichacek is a San Diego, California based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Ms. Mary J Tichacek is 95024198 for Psych/Mental Health in California. Her current practice location is 11515 El Camino Real Ste 100, San Diego. Patients can reach her at 858-279-1223. Ms. Mary J Tichacek is RN, PMHNP-BC, PMHCNS with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1841836244.
Ms. Mary J Tichacek has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Mary J Tichacek speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Mary J Tichacek |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | RN, PMHNP-BC, PMHCNS |
| Practice Address: | 11515 El Camino Real Ste 100, San Diego,
California, 92130-3034 |
| Phone: | 858-279-1223 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1841836244 |
| NPI Enumeration Date: | 20 Nov, 2019 |
| NPI Last Update On: | 29 Oct, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Mary J Tichacek are as mentioned below.
| License Number | Specialization | State | Status | |
| 95024198 | Psych/Mental Health | California | Primary | |
| 202048 | Registered Nurse | California | Secondary | |
| 207 | Clinical Nurse Specialist | California | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Mary J Tichacek
11515 El Camino Real Ste 100,
San Diego, California |
| Zip: | 92130-3034 |
| Phone Number: | 858-279-1223 |
Patients can reach Ms. Mary J Tichacek at
11515 El Camino Real Ste 100, San Diego, California or can
call to book an appointment on 858-279-1223.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.