Pederson Marriage and Family Therapy Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PEDERSON MARRIAGE AND FAMILY THERAPY INC

Practice address

3356 2ND Ave Ste E
San Diego, CA 92103-5636

Phone

(858) 522-0170

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Aron Pederson, LMFTNPI 1225503469

Title

Ceo

Phone

(858) 522-0170

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aron Pederson

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1225503469
  NPD Authorized official
• Heather Elizabeth Pederson, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1609390160
  NPD

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1023867488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 2ND AVE STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035636",
            "telephone_number": "858-522-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 2ND AVE STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035636",
            "telephone_number": "858-522-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDERSON MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "ARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-522-0170",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Knatz Peck, PH.D.
• Beth Ann Peckham, L.AC.
• Maggie Peddicord, RD RDN
• Monica Lea Peddicord, CADC-II
• Alexandra K Pedersen
• Aron Pederson
• Carol Pederson, LCSW
• Heather Elizabeth Pederson, LMFT
• Julia Pederson, DNP
• Thomas Gregg Pederson, MD

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Jul 10, 2024; 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.