Carletta Renee Vicain, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

45789 Issued in CA

Practice address

1011 Camino del Mar Ste 240
Del Mar, CA 92014-2655

Phone

(619) 917-2032

NPI assigned

Nov 6, 2006

Last updated

May 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1023187275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845424",
            "telephone_number": "760-726-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CAMINO DEL MAR STE 240",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142655",
            "telephone_number": "619-917-2032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845424",
            "country_code": "US",
            "telephone_number": "760-726-4900 x268",
            "fax_number": "760-631-0778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICAIN",
        "first_name": "CARLETTA",
        "middle_name": "RENEE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF40145",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer T.D. Tran, D.O.
• Carl W. Trygstad, M.D.
• Uc3D Labs, Inc (Del Mar Imaging Associates)
• Unity Custom Care Inc.
• Shirin Vartak, DO
• Hanalei Vierra, PH.D.
• Krishna Vijayasarathi, DO
• Jacqueline Monique Villalva
• Sarah Vita
• Ioanna Vouloumanou, LAC

• Marriage & Family Therapist in Del Mar, CA
• Providers in Del Mar, 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 20, 2019; 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.