Individual provider Active NPI

Richard Fredric Slinkard, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1225386485
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC25850 Issued in CA
Practice address
9910 Mira Mesa Blvd Ste D3
San Diego, CA 92131-1066
Phone
(858) 413-5002
Fax
(858) 549-9679
NPI assigned
Aug 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 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 MFC25850 CA Primary

Addresses

Primary practice location

9910 Mira Mesa Blvd Ste D3
San Diego, CA 92131-1066

Mailing address

9910 Mira Mesa Blvd Ste D3
San Diego, CA 92131-1066
Phone (858) 413-5002

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
MFC25850CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1225386485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 MIRA MESA BLVD STE D3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311066",
            "telephone_number": "858-413-5002",
            "fax_number": "858-549-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 MIRA MESA BLVD STE D3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311066",
            "telephone_number": "858-413-5002",
            "fax_number": "858-549-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLINKARD",
        "first_name": "RICHARD",
        "middle_name": "FREDRIC",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC25850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.