Active NPI
Sarah Marie Paulsen
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1174832901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 94647
- Practice address
- 4930 Naples St
San Diego, CA 92110-3820 - Phone
- (619) 276-1176
- Fax
- (619) 839-3741
- NPI assigned
- Sep 28, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CC00172 | MN | |
| Marriage & Family Therapist | 106H00000X | 2787 | MN | |
| Marriage & Family Therapist | 106H00000X | IMF 94647 | CA | Primary |
Addresses
Primary practice location
4930 Naples St
San Diego, CA 92110-3820
Mailing address
4930 Naples St
San Diego, CA 92110-3820
Phone (619) 276-1176
Other names 1
- Sarah Marie Slimmer
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 |
|---|---|---|---|
| CC00172 | MN | MD | Counselor |
| IMF 94647 | CA | MD | Marriage & Family Therapist |
| 2787 | MN | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1174832901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 NAPLES ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103820",
"telephone_number": "619-276-1176",
"fax_number": "619-839-3741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4930 NAPLES ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103820",
"telephone_number": "619-276-1176",
"fax_number": "619-839-3741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSEN",
"first_name": "SARAH",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MN",
"license": "CC00172",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2787",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 94647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "SLIMMER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
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 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.