Individual provider Active NPI

Agata Elizabeth Nowakowska, MFT

  • Marriage & Family Therapist
  • Solana Beach, CA
National Provider Identifier
1225157019
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53983 Issued in CA
Practice address
767 Academy Dr
Solana Beach, CA 92075-2031
Phone
(760) 484-1853
Fax
(858) 793-4406
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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 53983 CA Primary

Addresses

Primary practice location

767 Academy Dr
Solana Beach, CA 92075-2031

Mailing address

2154 Ranch View Ter
Encinitas, CA 92024-6534
Phone (760) 484-1853

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

LicenseStateTypeSpecialty
53983CAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1225157019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 RANCH VIEW TER",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246534",
            "telephone_number": "760-484-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 ACADEMY DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752031",
            "telephone_number": "760-484-1853",
            "fax_number": "858-793-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAKOWSKA",
        "first_name": "AGATA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.