Active NPI
Bronwyn Groesbeck Spiegel, M.S, MFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1346487386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 25170
- Practice address
- 5190 Governor Dr
Suite 104
San Diego, CA 92122-2847 - Phone
- (858) 353-5896
- Fax
- (858) 695-0611
- NPI assigned
- Jan 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 25170 | CA | Primary |
Addresses
Primary practice location
5190 Governor Dr
Suite 104
San Diego, CA 92122-2847
Mailing address
7260 Calle Cristobal
#45
San Diego, CA 92126-6062
Phone (858) 353-3896
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 25170 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1346487386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7260 CALLE CRISTOBAL",
"address_2": "#45",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921266062",
"telephone_number": "858-353-3896",
"fax_number": "858-695-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 GOVERNOR DR",
"address_2": "SUITE 104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222847",
"telephone_number": "858-353-5896",
"fax_number": "858-695-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIEGEL",
"first_name": "BRONWYN",
"middle_name": "GROESBECK",
"name_prefix": "Ms.",
"credential": "M.S, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 25170",
"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 Jan 13, 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.