Organization Active NPI

Waves of Therapy Marriage and Family Counseling

  • Marriage & Family Therapist
  • Carlsbad, CA
National Provider Identifier
1053158998
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WAVES OF THERAPY MARRIAGE AND FAMILY COUNSELING
Practice address
6120 Paseo del Norte Ste N2
Carlsbad, CA 92011-1149
Phone
(760) 209-5512
NPI assigned
Jul 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Deema Kanbaragha, LMFTNPI 1578156790
Title
Ceo
Phone
(760) 209-5512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

6120 Paseo del Norte Ste N2
Carlsbad, CA 92011-1149

Mailing address

6120 Paseo del Norte Ste N2
Carlsbad, CA 92011-1149
Phone (760) 209-5512

Other names 1

  • Waves of Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

6120 Paseo del Norte
Ste N2
Carlsbad, CA 92011
Phone (760) 209-5512

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1053158998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 PASEO DEL NORTE STE N2",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111149",
            "telephone_number": "760-209-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 PASEO DEL NORTE STE N2",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111149",
            "telephone_number": "760-209-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES OF THERAPY MARRIAGE AND FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "KANBARAGHA",
        "authorized_official_first_name": "DEEMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-209-5512",
        "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": [
        {
            "organization_name": "Waves of Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.