CHRISTOPHER M. POULIN – NPI #1386450096
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

CHRISTOPHER POULIN is a peer specialist located in SAN DIEGO, CA. NPPES has assigned the NPI number 1386450096 to CHRISTOPHER POULIN on December 06, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

The NPI profile was last updated on Aug 05, 2025. See the complete NPI profile for CHRISTOPHER POULIN below.

NPI Profile for
CHRISTOPHER M. POULIN

NPI Number
1386450096
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHRISTOPHER M. POULIN
Primary location
2952 CEDAR ST
SAN DIEGO, CA 92102-1515
Phone: (619) 239-7370 Fax:
1 Other location(s):
1530 Dale St
San Diego, CA 92102-1519
Phone: (619) 915-5710
Mailing address
2980 CEDAR ST
SAN DIEGO, CA 92102-1599
Phone: (619) 915-5710 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Aug 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)
101YA0400X
- Counselor / Addiction (Substance Use Disorder)
CA R1563390624

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.