Individual provider Active NPI

Tharia B Corbett Young, M.A.

  • Marriage & Family Therapist
  • Vista, CA
National Provider Identifier
1174898092
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC50924 Issued in CA
Practice address
410 S Melrose Dr
Suite 202
Vista, CA 92081-6642
Phone
(760) 975-5308
Fax
(760) 806-4340
NPI assigned
Mar 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC50924 CA Primary

Addresses

Primary practice location

410 S Melrose Dr
Suite 202
Vista, CA 92081-6642

Mailing address

410 S Melrose Dr
Suite 202
Vista, CA 92081-6642
Phone (760) 975-5308

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC50924CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1174898092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S MELROSE DR",
            "address_2": "SUITE 202",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816642",
            "telephone_number": "760-975-5308",
            "fax_number": "760-806-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MELROSE DR",
            "address_2": "SUITE 202",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816642",
            "telephone_number": "760-975-5308",
            "fax_number": "760-806-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT YOUNG",
        "first_name": "THARIA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC50924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.