North Bay Psychotherapy Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

NORTH BAY PSYCHOTHERAPY SERVICES

Practice address

620 State St Unit 421
San Diego, CA 92101-6725

Phone

(714) 713-3890

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Mary Ann Fornes, LMFT

Title

Ceo

Phone

(714) 713-3890

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1154046134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STATE ST UNIT 421",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016725",
            "telephone_number": "714-713-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STATE ST UNIT 421",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016725",
            "telephone_number": "714-713-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "FORNES",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-713-3890",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Allison Norris, M.D.
• Lauren Michelle Norris, RN
• Megan Norris, MS, LMFT
• Sharvella Norris
• Amy Kathleen Norrish, RDN
• North City Psychological Group
• North County Hearing, LLC
• North County Lifeline
• North County Lifeline
• North County Lifeline

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.