Individual provider Active NPI

Bryan Hayden Dover, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1386812493
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC48085 Issued in CA
Practice address
2816 Adams Ave
San Diego, CA 92116
Phone
(619) 717-1832
NPI assigned
Feb 12, 2008
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 48085 CA
Marriage & Family Therapist 106H00000X MFC48085 CA Primary

Addresses

Primary practice location

2816 Adams Ave
San Diego, CA 92116

Mailing address

2816 Adams Ave
San Diego, CA 92116-1401
Phone (619) 717-1832

Other practice location 1

3636 5th Ave
Suite 100
San Diego, CA 92103-4281
Phone (619) 717-1832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC48085CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1386812493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161401",
            "telephone_number": "619-717-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92116",
            "telephone_number": "619-717-1832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 5th Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921034281",
            "country_code": "US",
            "telephone_number": "619-717-1832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOVER",
        "first_name": "BRYAN",
        "middle_name": "HAYDEN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48085",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC48085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.