Wellspace Family Therapy San Diego

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WELLSPACE FAMILY THERAPY SAN DIEGO

Practice address

5252 Balboa Ave Ste 304
San Diego, CA 92117-6942

Phone

(858) 633-6190

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Melissa Pinn, MFTNPI 1336424548

Title

MFT

Phone

(858) 633-6190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Melissa Pinn, MFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1336424548
  NPD Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1326730839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 304",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176942",
            "telephone_number": "858-633-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 304",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176942",
            "telephone_number": "858-633-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPACE FAMILY THERAPY SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "PINN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MFT",
        "authorized_official_telephone_number": "858-633-6190",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Wells, B.S.
• Raymond J Wells
• Stephanie Marie Wells, RBT
• Tracy Wells, CADC-II
• Vanesa Wells
• Wellsphere Psychological Services PC
• Wellworth Health, Inc.
• Welsh Chiropractic Inc
• Barbara Welsh Osga, PHD
• Britt Kristina Welsh, L.C.S.W.

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 May 23, 2023; 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.