Larry Donnell Byrd, JOB DEVELOPER

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2864 University Ave
San Diego, CA 92104-2930

Phone

(619) 683-7423

Fax

(619) 683-7428

NPI assigned

Mar 5, 2007

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1407985765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 PENTECOST WAY",
            "address_2": "UNIT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055774",
            "telephone_number": "619-352-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042930",
            "telephone_number": "619-683-7423",
            "fax_number": "619-683-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "LARRY",
        "middle_name": "DONNELL",
        "name_prefix": "Mr.",
        "credential": "JOB DEVELOPER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Brooke Bynum, LMFT
• Dakota Max Byous
• Kelsey Murry Byrd, DO
• Kristina Clare Byrd, AUD
• Laquisha Byrd, IDC
• Majesty Marie Byrd
• Michael C Byrd
• Stephanie Byrd, PSYD
• Hannah M Byrne, BCBA
• James C Byrne, D.M.D.

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.