Active NPI
Pamela Douty
- Marriage & Family Therapist
- Carlsbad, CA
National Provider Identifier
1013162841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 31493
- Practice address
- 7220 Avenida Encinas
Suite #206
Carlsbad, CA 92011-4690 - Phone
- (760) 978-7284
- NPI assigned
- Nov 20, 2008
- Last updated
- Nov 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 31493 | CA | Primary |
Addresses
Primary practice location
7220 Avenida Encinas
Suite #206
Carlsbad, CA 92011-4690
Mailing address
PO Box 4412
Carlsbad, CA 92018-4412
Phone (760) 978-7284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC 31493 | Other | CA | BBSE |
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 |
|---|---|---|---|
| MFC 31493 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1013162841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4412",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920184412",
"telephone_number": "760-978-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 AVENIDA ENCINAS",
"address_2": "SUITE #206",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920114690",
"telephone_number": "760-978-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUTY",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 31493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBSE",
"identifier": "MFC 31493",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.