Individual provider Active NPI

Brianna Angeline Adame

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1033776794
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121747 Issued in CA
Practice address
8825 Aero Dr Ste 110
San Diego, CA 92123-2268
Phone
(858) 277-9550
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 121747 CA Primary

Addresses

Primary practice location

8825 Aero Dr Ste 110
San Diego, CA 92123-2268

Mailing address

2655 Camino del Rio N Ste 450
San Diego, CA 92108-1603
Phone (858) 633-4115

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

State licenses

LicenseStateTypeSpecialty
121747CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Center for Children CurrentSince Jul 24, 2022 Accepting new patients
San Diego Center for Children CurrentSince Jan 7, 2024 Accepting new patients

Locations

8825 Aero Dr
Ste 110
San Diego, CA 92123
Phone (619) 455-8622

2655 Camino del Rio N
Ste 450
San Diego, CA 92108
Phone (619) 455-8622

Organizations & group practices 2

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1033776794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 CAMINO DEL RIO N STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081603",
            "telephone_number": "858-633-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 AERO DR STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232268",
            "telephone_number": "858-277-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAME",
        "first_name": "BRIANNA",
        "middle_name": "ANGELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121747",
            "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 Mar 14, 2023; 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.