Debra Jedeikin, M.A. LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

40477 Issued in CA

Practice address

990 Highland Dr
Suite 101
Solana Beach, CA 92075-2408

Phone

(858) 342-6200

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1285863084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HIGHLAND DR",
            "address_2": "SUITE 101",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752408",
            "telephone_number": "858-342-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HIGHLAND DR",
            "address_2": "SUITE 101",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752408",
            "telephone_number": "858-342-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDEIKIN",
        "first_name": "DEBRA",
        "credential": "M.A. LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Isdaner, PT, DPT
• Jeffrey Alan Iverson, FNP
• Susan Iyican, PH.D.
• Blaine Kenton Jackson, M.D.
• Lucas Jacobsen
• Michele Noel Jensen, MFT
• Merle Jimenez, NP
• John D. Hill, M.D., Inc.
• Brenda Roland Johnson, PH.D.
• Gregory A. Johnson, D.D.S.

• Marriage & Family Therapist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.