Organization Active NPI

M.Y. Therapy Healing, LLC

  • Marriage & Family Therapist
  • Solana Beach, CA
National Provider Identifier
1053825653
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
91175 Issued in CA
Legal business name
M.Y. THERAPY HEALING, LLC
Practice address
312 S Cedros Ave Ste 334
Solana Beach, CA 92075-1981
Phone
(760) 783-5603
Fax
(760) 683-8382
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Authorized official

Name
Miss Michelle Marie York, LMFT
Title
Psychotherapist
Phone
(760) 783-5603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 91175 CA Primary

Addresses

Primary practice location

312 S Cedros Ave Ste 334
Solana Beach, CA 92075-1981

Mailing address

312 S Cedros Ave Ste 334
Solana Beach, CA 92075-1981

National Provider Directory

National Provider Directory

Locations

312 S Cedros Ave
Ste 334
Solana Beach, CA 92075
Phone (619) 518-3415

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1053825653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S CEDROS AVE STE 334",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S CEDROS AVE STE 334",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751981",
            "telephone_number": "760-783-5603",
            "fax_number": "760-683-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.Y. THERAPY HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "760-783-5603",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.