Active NPI
Zelda Marie Verrett
- Marriage & Family Therapist
- San Bernardino, CA
National Provider Identifier
1225650732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100143845 | Medicaid | CA |
Other names 1
- InSight Therapeutic Solutions
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- San Bernardino, CA
- NPI 1649562513
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.