Organization Active NPI

Beth Corrick MFT

  • Health Maintenance Organization
  • San Diego, CA
National Provider Identifier
1407955016
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MFC 46498 Issued in CA
Legal business name
BETH CORRICK MFT
Practice address
5752 Oberlin Dr Ste 203
San Diego, CA 92121-1749
Phone
(858) 699-1497
Fax
(858) 481-8271
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Beth Corrick, LMFT
Title
Marriage and Family Therapist
Phone
(858) 699-1497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MFC 46498 CA Primary

Addresses

Primary practice location

5752 Oberlin Dr Ste 203
San Diego, CA 92121-1749

Mailing address

PO Box 1074
Cardiff, Ca 92007
Cardiff by the Sea, CA 92007-7074
Phone (858) 699-1497

National Provider Directory

National Provider Directory
Tax ID family
Childrens Asso Med GRJ60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5752 Oberlin Dr
Ste 203
San Diego, CA 92121
Phone (858) 699-1497

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1407955016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1074",
            "address_2": "CARDIFF, CA 92007",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920077074",
            "telephone_number": "858-699-1497",
            "fax_number": "858-481-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5752 OBERLIN DR STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211749",
            "telephone_number": "858-699-1497",
            "fax_number": "858-481-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH CORRICK MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "CORRICK",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "858-699-1497",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "MFC 46498",
            "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 Oct 27, 2010; 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.