Active NPI
Luis Miguel Terrazas, MSSW PHD
- Psychologist
- Escondido, CA
National Provider Identifier
1114119195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY6993
- Practice address
- 145 South Fig Street
Escondido, CA 92025-4453 - Phone
- (760) 741-7006
- Fax
- (760) 741-7091
- NPI assigned
- Aug 14, 2007
- Last updated
- Aug 14, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY6993 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | NU |
Addresses
Primary practice location
145 South Fig Street
Escondido, CA 92025-4453
Mailing address
145 South Fig Street
Escondido, CA 92025-4453
Phone (760) 741-7006
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY6993 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1114119195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 SOUTH FIG STREET",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254453",
"telephone_number": "760-741-7006",
"fax_number": "760-741-7091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SOUTH FIG STREET",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254453",
"telephone_number": "760-741-7006",
"fax_number": "760-741-7091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRAZAS",
"first_name": "LUIS",
"middle_name": "MIGUEL",
"name_prefix": "Dr.",
"credential": "MSSW PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY6993",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
- Alyssa Teeter-Witt, PSY.D.
- Telecare Corporation (Care Court ACT)
- Telecare Corporation (Care Court Outreach)
- William David Tench, M.D.
- Terilyn Thach, Inc (Insight Vision Optometry)
- Patrick Tesner
- Gregor William Brent Testerman, SUDRC
- Jocelyn Teston-May, NP
- Nallely Texis Estrella
- Terilyn T Thach, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.