Active NPI
Jessica M McFadden, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1174121560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 122045
- Practice address
- 7850 Vista Hill Ave
San Diego, CA 92123-2717 - Phone
- (858) 836-8343
- NPI assigned
- Oct 16, 2020
- Last updated
- Oct 6, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 122045 | CA | Primary |
Addresses
Primary practice location
7850 Vista Hill Ave
San Diego, CA 92123-2717
Mailing address
PO Box 503742
San Diego, CA 92150-3742
Other practice location 1
9920 Pacific Heights Blvd
San Diego, CA 92121-4396
Phone (858) 780-6372
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 |
|---|---|---|---|
| 122045 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1174121560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503742",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921503742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 VISTA HILL AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232717",
"telephone_number": "858-836-8343"
}
],
"practiceLocations": [
{
"address_1": "9920 Pacific Heights Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921214396",
"country_code": "US",
"telephone_number": "858-780-6372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCFADDEN",
"first_name": "JESSICA",
"middle_name": "M",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-16",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122045",
"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 Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.