Individual provider Active NPI

Mark Allen Kaupp, PSY.D.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1346236445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC33213 Issued in CA
Practice address
2835 Camino del Rio S
Suite 120-C
San Diego, CA 92108-3825
Phone
(619) 665-5590
Fax
(619) 297-4496
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

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 MFC33213 CA Primary

Addresses

Primary practice location

2835 Camino del Rio S
Suite 120-C
San Diego, CA 92108-3825

Mailing address

5452 Redding Rd
San Diego, CA 92115-1133
Phone (619) 665-5590

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
MFC33213CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346236445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5452 REDDING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151133",
            "telephone_number": "619-665-5590",
            "fax_number": "619-297-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 CAMINO DEL RIO S",
            "address_2": "SUITE 120-C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083825",
            "telephone_number": "619-665-5590",
            "fax_number": "619-297-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUPP",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33213",
            "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 Jul 8, 2007; 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.