KYLE STREET – NPI #1457912131
Psychiatry & Neurology

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

KYLE STREET is a psychiatry & neurologist located in LA JOLLA, CA. NPPES has assigned the NPI number 1457912131 to KYLE STREET on June 24, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084P0802X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Psychiatry

The NPI profile was previously updated about 3 years ago on Oct 03, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KYLE STREET below.

NPI Profile for
KYLE STREET

NPI Number
1457912131
Enumeration Date

(about 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KYLE STREET
Primary location
8950 VILLA LA JOLLA DR STE C101
LA JOLLA, CA 92037-1727
Phone: (858) 249-1680 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 02, 2023

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
2084P0802X
- Psychiatry & Neurology / Addiction Psychiatry (Primary)
CA 20A21304

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.