Organization Active NPI

Metanoia Group

  • Psychologist
  • San Diego, CA
National Provider Identifier
1376354217
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
METANOIA GROUP
Practice address
9663 Tierra Grande St Ste 104
San Diego, CA 92126-4569
Phone
(858) 500-2434
Fax
(858) 815-6646
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Dr. Darlene R Townes, PSY.D.NPI 1376985473
Title
President/Ceo
Phone
(858) 500-2434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

9663 Tierra Grande St Ste 104
San Diego, CA 92126-4569

Mailing address

9663 Tierra Grande St Ste 104
San Diego, CA 92126-4569
Phone (858) 500-2434

Other names 1

  • The Fountain Doing business as

National Provider Directory

National Provider Directory

Locations

9663 Tierra Grande St
Ste 104
San Diego, CA 92126
Phone (619) 736-0333

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1376354217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 TIERRA GRANDE ST STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264569",
            "telephone_number": "858-500-2434",
            "fax_number": "858-815-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9663 TIERRA GRANDE ST STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264569",
            "telephone_number": "858-500-2434",
            "fax_number": "858-815-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METANOIA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "TOWNES",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "858-500-2434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Fountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 2025; 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.