Organization Active NPI

Zelda Marie Verrett

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1225650732
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ZELDA MARIE VERRETT
Practice address
473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201
Phone
(909) 533-4585
Fax
(909) 533-4590
NPI assigned
May 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Tajuan Nichole Verrett-Earl
Title
Office Manager
Phone
(909) 533-4574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201

Mailing address

473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201
Phone (909) 533-4585

Other identifiers 1

IdentifierTypeStateIssuer
100143845MedicaidCA

Other names 1

  • InSight Therapeutic Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

1003 E Cooley Dr
Ste 207
Colton, CA 92324
Phone (909) 424-0274

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1225650732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 S CARNEGIE DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084201",
            "telephone_number": "909-533-4585",
            "fax_number": "909-533-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 S CARNEGIE DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084201",
            "telephone_number": "909-533-4585",
            "fax_number": "909-533-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELDA MARIE VERRETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "VERRETT-EARL",
        "authorized_official_first_name": "TAJUAN",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-533-4574"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143845",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InSight Therapeutic Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "InSight Therapeutic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.