Group Psychotherapy Services

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

GROUP PSYCHOTHERAPY SERVICES

Practice address

979 Woodland Pkwy Ste 101-89
San Marcos, CA 92069-2220

Phone

(760) 566-7525

NPI assigned

Oct 22, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

GROUPWELL, INC.As reported in NPPES

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

Authorized official

Name

Denise Shiffman

Title

Ceo

Phone

(650) 300-0786

Specialties & licenses 1

Addresses

Other names 1

• GroupWell, Inc. Other name

Locations

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1205590668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BLACK AVE UNIT 5311",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665112",
            "telephone_number": "650-300-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 WOODLAND PKWY STE 101-89",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692220",
            "telephone_number": "760-566-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GROUPWELL, INC.",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "SHIFFMAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-300-0786"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GroupWell, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory W. Hall, Ma (Hearing Health Care of San Marcos)
• Charlie Grenier, PPS, MS
• Vanessa Grimsley
• Hailey Groff
• Jessica Marie Grose, M.S., CCC-SLP
• Amy Crotty Grumann, RN
• Howard Guan, M.D.
• Stewart D Guentner, REGISTERED DIETITIAN
• Jazmine Guerra
• Juan Leon Guerrero

• Group Psychotherapy Psychologist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Group Psychotherapy Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.