Active NPI
Caroline Frances Anton, MA
- Counseling Psychologist
- San Diego, CA
National Provider Identifier
1093521700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 147355
- Practice address
- 2729 4TH Ave Ste 3
San Diego, CA 92103-6223 - Phone
- (619) 616-0733
- NPI assigned
- Dec 6, 2024
- Last updated
- Dec 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 16690 | CA | |
| Counseling Psychologist | 103TC1900X | 147355 | CA | Primary |
Addresses
Primary practice location
2729 4TH Ave Ste 3
San Diego, CA 92103-6223
Mailing address
4435 Marlborough Ave Unit 3
San Diego, CA 92116-4758
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147355 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1093521700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4435 MARLBOROUGH AVE UNIT 3",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921164758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2729 4TH AVE STE 3",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036223",
"telephone_number": "619-616-0733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTON",
"first_name": "CAROLINE",
"middle_name": "FRANCES",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "16690",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "147355",
"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 Dec 6, 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.