Individual provider Active NPI

Brett Ryan Martin, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1285290627
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC51598 Issued in CA
Practice address
12520 High Bluff Dr Ste 100
San Diego, CA 92130-2061
Phone
(858) 792-8316
NPI assigned
May 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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 MFC51598 CA Primary

Addresses

Primary practice location

12520 High Bluff Dr Ste 100
San Diego, CA 92130-2061

Mailing address

12520 High Bluff Dr Ste 100
San Diego, CA 92130-2061
Phone (858) 792-8316

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
MFC51598CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Falcone Institute Educational Child and Family Therapist Apc Marriage & Family Therapist PastSince Jul 3, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1285290627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 HIGH BLUFF DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302061",
            "telephone_number": "858-792-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 HIGH BLUFF DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302061",
            "telephone_number": "858-792-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRETT",
        "middle_name": "RYAN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51598",
            "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 May 10, 2019; 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.