Nina Laura Sandberg, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

130411 Issued in CA

Practice address

130 W E St
Encinitas, CA 92024-3519

Phone

(858) 367-9027

NPI assigned

Apr 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Family Guidance & Therapy Center of Southern California

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1780989301
  NPD (past)

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1013596675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235554",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920235554",
            "telephone_number": "858-367-9027",
            "fax_number": "619-600-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W E ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243519",
            "telephone_number": "858-367-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "NINA",
        "middle_name": "LAURA",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Vein Institute, a Professional Corporation
• San Dieguito Orthopedic Medical Center P C
• San Dieguito Surgeons Medical Group
• San Elijo Pilates and Physical Therapy, Inc
• Veronica Sanchez, MA
• Chelsea Laurae Sanders, PH.D.
• Amy Lyn Sanderson, M.D.
• Sandford M. Schocket, M.D.
• Farris Sandhu, MD
• Sandra Castro Professional Chiropractic Corp

• Marriage & Family Therapist in Encinitas, CA
• Providers in Encinitas, 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 Feb 4, 2022; 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.