Individual provider Active NPI

Lucille I Vail, MFTT

  • Marriage & Family Therapist
  • Oceanside, CA
National Provider Identifier
1295819670
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3142 Vista Way Ste 205
Oceanside, CA 92056-3628
Phone
(760) 758-1480
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 Primary

Addresses

Primary practice location

3142 Vista Way Ste 205
Oceanside, CA 92056-3628

Mailing address

3525 Georgia St
San Diego, CA 92103-4617
Phone (858) 761-6851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705000649 CT Practitioner - Marriage and Family Therapist 7810431574 Practice locations: Woodbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Main St N
Woodbury, CT 06798-2966
Phone (860) 483-0790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2602CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Guglielmino, Psy.D., LLC PastSince Feb 24, 2018 Accepting new patients
Rady Children'S Outpatient Psychaitry Past Accepting new patients
William Christopher Brown PastSince Oct 16, 2022 Accepting new patients

Organizations & group practices 3

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295819670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 GEORGIA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034617",
            "telephone_number": "858-761-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY STE 205",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563628",
            "telephone_number": "760-758-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIL",
        "first_name": "LUCILLE",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "MFTT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.