Active NPI
Beth Corrick MFT
- Health Maintenance Organization
- San Diego, CA
National Provider Identifier
1407955016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- MFC 46498
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 GRJ
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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.