Restoration Therapy Center of SD, a MFT Corp

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

#86028 Issued in CA

Legal business name

RESTORATION THERAPY CENTER OF SD, A MFT CORP

Practice address

5650 El Camino Real
Ste 130
Carlsbad, CA 92008-7124

Phone

(714) 222-0331

NPI assigned

May 2, 2016

Last updated

May 2, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Elvin Lance Ahl, M.S., M.DIV.NPI 1982969085

Title

President

Phone

(714) 222-0331

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elvin Lance Ahl, MS, MDIV

  • Marriage & Family Therapist
  • Carlsbad, CA
  • NPI 1982969085
  NPD Authorized official
• Charles James Threatt III, LPCC, PPS

  • Professional Counselor
  • Encinitas, CA
  • NPI 1346808706
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1013362615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 EL CAMINO REAL",
            "address_2": "STE 130",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087124",
            "telephone_number": "714-222-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 EL CAMINO REAL",
            "address_2": "STE 130",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087124",
            "telephone_number": "714-222-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION THERAPY CENTER OF SD, A MFT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "AHL",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-222-0331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., M.DIV."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "#86028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Reppenhagen, NP
• Jaimie Edith Resendiz
• Reset Behavioral Health LLC
• Responsible Medical Corporation (Carlsbad Urgent Care)
• Tzili Ressler, OTR/L
• Revive Naturopathic Medicine, Inc.
• Revive Orthopaedic Institute, Inc
• Aris Daelynn Reyes Lukins
• Cynthia B Reyes, M.T.
• Cynthya Amada Reyes

• Marriage & Family Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.