Individual provider Active NPI

Jeri Ann Karlsberg, PSY.D.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1346238946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37004 Issued in CA
Practice address
16935 W Bernardo Dr
Suite 108
San Diego, CA 92127-1634
Phone
(858) 357-6464
Fax
(858) 485-7824
NPI assigned
Oct 10, 2005
Sex
Female
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 MFC37004 CA Primary

Addresses

Primary practice location

16935 W Bernardo Dr
Suite 108
San Diego, CA 92127-1634

Mailing address

PO Box 28612
San Diego, CA 92198-0612
Phone (858) 357-6464

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
MFC37004CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346238946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28612",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921980612",
            "telephone_number": "858-357-6464",
            "fax_number": "858-485-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16935 W BERNARDO DR",
            "address_2": "SUITE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271634",
            "telephone_number": "858-357-6464",
            "fax_number": "858-485-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLSBERG",
        "first_name": "JERI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37004",
            "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.