Individual provider Active NPI

Trishala Bijoy Khandheria, AMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1063989192
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119902 Issued in CA
Practice address
1010 Turquoise St Ste 303
San Diego, CA 92109-1268
Phone
(619) 407-8812
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 119902 CA Primary

Addresses

Primary practice location

1010 Turquoise St Ste 303
San Diego, CA 92109-1268

Mailing address

1010 Turquoise St Ste 303
San Diego, CA 92109-1268
Phone (619) 407-8812

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
119902CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Knatz Peck PHD Psychological Services Inc CurrentSince Jan 1, 2023 Accepting new patients

Locations

1010 Turquoise St
Ste 303
San Diego, CA 92109
Phone (619) 800-4036

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1063989192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 TURQUOISE ST STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091268",
            "telephone_number": "619-407-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 TURQUOISE ST STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091268",
            "telephone_number": "619-407-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDHERIA",
        "first_name": "TRISHALA",
        "middle_name": "BIJOY",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119902",
            "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 Feb 14, 2022; 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.