Active NPI
Phoebe Carmichael
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1093660755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 155536
- Practice address
- 1625 Newton Ave
San Diego, CA 92113-1012 - Phone
- (619) 630-7627
- NPI assigned
- Feb 27, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 155536 | CA | Primary |
Addresses
Primary practice location
1625 Newton Ave
San Diego, CA 92113-1012
Mailing address
PO Box 822
Lawrence, MA 01842-1622
Other practice location 1
15 Union St
Lawrence, MA 01840-1866
Phone (978) 682-7289
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
| License | State | Type | Specialty |
|---|---|---|---|
| 155536 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1093660755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 822",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018421622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 NEWTON AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921131012",
"telephone_number": "619-630-7627"
}
],
"practiceLocations": [
{
"address_1": "15 Union St",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018401866",
"country_code": "US",
"telephone_number": "978-682-7289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARMICHAEL",
"first_name": "PHOEBE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "155536",
"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 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.