Individual provider Active NPI

Ryan Patrick McDade, MFTI

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1427358837
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
63896 Issued in CA
Practice address
2250 4TH Ave
#301
San Diego, CA 92101-2124
Phone
(619) 525-9903
Fax
(619) 525-9908
NPI assigned
Nov 1, 2010
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 63896 CA Primary

Addresses

Primary practice location

2250 4TH Ave
#301
San Diego, CA 92101-2124

Mailing address

2250 4TH Ave
#301
San Diego, CA 92101-2124
Phone (619) 525-9903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
63896CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1427358837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 4TH AVE",
            "address_2": "#301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012124",
            "telephone_number": "619-525-9903",
            "fax_number": "619-525-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 4TH AVE",
            "address_2": "#301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012124",
            "telephone_number": "619-525-9903",
            "fax_number": "619-525-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDADE",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "63896",
            "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 Nov 1, 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.