Rhea W Fugal, L.C.S.W.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS 23608 Issued in CA

Practice address

5480 Baltimore Dr Ste 103
La Mesa, CA 91942-2068

Phone

(619) 741-3283

Fax

(619) 741-3283

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• LDS Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
  • NPI 1073726485
  NPD (past)
• LDS Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandy, UT
  • NPI 1659324572
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1144286808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 CASA ALTA",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919777014",
            "telephone_number": "619-741-3283",
            "fax_number": "619-741-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 BALTIMORE DR STE 103",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422068",
            "telephone_number": "619-741-3283",
            "fax_number": "619-741-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGAL",
        "first_name": "RHEA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS 23608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Balboa II, LLC
• William Eugene Friedel, M.D.
• Theodore E Friedman, LCSW
• Yangheng Fu, M.D.
• Ana Fuentes Calderon
• Kevin L. Fulford, MD
• Gary R. Funk, O.D.
• Alexandra Furukawa, MA, CCC-SLP
• Eda Fushman, LMFT
• G O M G a Medical Partnership

• Community/Behavioral Health Agency in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.