Active NPI
Marissa M Abril, LPT
- Licensed Psychiatric Technician
- San Diego, CA
National Provider Identifier
1003966516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT25230
- Practice address
- 427 C St Ste 212
San Diego, CA 92101-5121 - Phone
- (209) 564-9081
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT25230 | CA | Primary |
Addresses
Primary practice location
427 C St Ste 212
San Diego, CA 92101-5121
Mailing address
427 C St Ste 212
San Diego, CA 92101-5121
Phone (209) 564-9081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT25230 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1003966516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 C ST STE 212",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921015121",
"telephone_number": "209-564-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 C ST STE 212",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921015121",
"telephone_number": "209-564-9081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRIL",
"first_name": "MARISSA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT25230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.