Active NPI
Ryan Buchmann, MA, MFT, CADC-II
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1063639102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 50774
- Practice address
- 325 W Washington St Ste 2-204
San Diego, CA 92103-1946 - Phone
- (760) 566-8760
- Fax
- (760) 820-2461
- NPI assigned
- Apr 19, 2007
- Last updated
- Apr 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A019280715 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 50774 | CA | Primary |
Addresses
Primary practice location
325 W Washington St Ste 2-204
San Diego, CA 92103-1946
Mailing address
325 W Washington St Ste 2-204
San Diego, CA 92103-1946
Phone (760) 566-8760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7560841 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A019280715 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| MFC 50774 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counselingwerks a Marriage & Family Therapy Corporation | Current | Accepting new patients |
Locations
325 W Washington St
Ste 2204
San Diego, CA 92103
Phone (760) 566-8760
330 Rancheros Dr
Ste 222
San Marcos, CA 92069
Phone (760) 290-3178
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1588234504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1063639102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W WASHINGTON ST STE 2-204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031946",
"telephone_number": "760-566-8760",
"fax_number": "760-820-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W WASHINGTON ST STE 2-204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031946",
"telephone_number": "760-566-8760",
"fax_number": "760-820-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHMANN",
"first_name": "RYAN",
"name_prefix": "Mr.",
"credential": "MA, MFT, CADC-II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2022-04-04",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A019280715",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 50774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7560841",
"state": "CA"
}
],
"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 Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.