Individual provider Active NPI

Jennifer Palmiotto, M.A., MFT

  • Specialist
  • San Diego, CA
National Provider Identifier
1023241502
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
47573 Issued in CA
Practice address
2907 Shelter Island Dr
Suite 216
San Diego, CA 92106-2743
Phone
(619) 301-3452
Fax
(619) 224-9508
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 47573 CA
Specialist 174400000X 47573 CA Primary

Addresses

Primary practice location

2907 Shelter Island Dr
Suite 216
San Diego, CA 92106-2743

Mailing address

3405 Wisteria Dr
San Diego, CA 92106-1147
Phone (619) 301-3452

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
47573CAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Guidance & Therapy Center of Southern California Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1023241502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 WISTERIA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061147",
            "telephone_number": "619-301-3452",
            "fax_number": "619-224-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 SHELTER ISLAND DR",
            "address_2": "SUITE 216",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062743",
            "telephone_number": "619-301-3452",
            "fax_number": "619-224-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMIOTTO",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "M.A., MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "47573",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "47573",
            "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 Jan 4, 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.

Verify at the official NPI Registry.