Individual provider Active NPI

Robyn Buresh, MA, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1174960819
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
91826 Issued in CA
Practice address
11590 W Bernardo CT Ste 230
San Diego, CA 92127-1624
Phone
(760) 652-9680
Fax
(760) 542-6019
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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 91826 CA Primary

Addresses

Primary practice location

11590 W Bernardo CT Ste 230
San Diego, CA 92127-1624

Mailing address

11590 W Bernardo CT Ste 230
San Diego, CA 92127-1624
Phone (760) 652-9680

Other identifiers 1

IdentifierTypeStateIssuer
14402369OtherCACAQH

Other names 1

  • Robyn Allard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
91826CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Family Counseling Professional Corporation Marriage & Family Therapist CurrentSince Jan 28, 2024 Accepting new patients

Locations

16870 W Bernardo Dr
Ste 400
San Diego, CA 92127
Phone (858) 673-9600

11590 W Bernardo Ct
Ste 230
San Diego, CA 92127
Phone (619) 733-6414

100 E San Marcos Blvd
Ste 400
San Marcos, CA 92069
Phone (760) 415-0085

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1174960819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11590 W BERNARDO CT STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271624",
            "telephone_number": "760-652-9680",
            "fax_number": "760-542-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 W BERNARDO CT STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271624",
            "telephone_number": "760-652-9680",
            "fax_number": "760-542-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURESH",
        "first_name": "ROBYN",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14402369",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "ALLARD",
            "credential": "MA, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.