Individual provider Active NPI

Katherine Homsany, AMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1194480566
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112662 Issued in CA
Practice address
8775 Aero Dr Ste 238
San Diego, CA 92123-1756
Phone
(619) 930-9524
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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 112662 CA Primary

Addresses

Primary practice location

8775 Aero Dr Ste 238
San Diego, CA 92123-1756

Mailing address

4036 Shasta St Apt 11
San Diego, CA 92109-6042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000222 CA Practitioner - Marriage and Family Therapist 5092156851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
California University of Science and Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Psychology Centers ApcGroup PAC ID 6406170653, 23 clinicians

Practice addresses (Care Compare)

8775 Aero Dr
Suite 238
San Diego, CA 92123-1756
Phone (619) 930-9524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112662CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Psychology Centers, Apc CurrentSince Mar 30, 2024 Accepting new patients

Locations

8775 Aero Dr
San Diego, CA 92123
Phone (858) 565-4148

8775 Aero Dr
Ste 238
San Diego, CA 92123
Phone (619) 930-9524

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1194480566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 SHASTA ST APT 11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 AERO DR STE 238",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231756",
            "telephone_number": "619-930-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMSANY",
        "first_name": "KATHERINE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.