Organization Active NPI

Dialectica Family Therapy

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1073235669
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DIALECTICA FAMILY THERAPY
Practice address
360 Mobil Ave Ste a&B
Camarillo, CA 93010-6325
Phone
(805) 980-8865
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Jennifer Miles
Title
Owner
Phone
(805) 980-8865

Specialties & licenses 1

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

Addresses

Primary practice location

360 Mobil Ave Ste a&B
Camarillo, CA 93010-6325

Mailing address

638 Camino Concordia
Camarillo, CA 93010-8419
Phone (805) 980-8865

Other identifiers 1

IdentifierTypeStateIssuer
2213830MedicaidCA

Other names 1

  • Jennifer Miles Therapy Other name

National Provider Directory

National Provider Directory

Locations

360 Mobil Ave
Ste Ab
Camarillo, CA 93010
Phone (805) 980-8865

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1073235669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 CAMINO CONCORDIA",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108419",
            "telephone_number": "805-980-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MOBIL AVE STE A&B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106325",
            "telephone_number": "805-980-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALECTICA FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-980-8865"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2213830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Miles Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jennifer Miles Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.