Therapy Center and Family Counseling Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

THERAPY CENTER AND FAMILY COUNSELING CORPORATION

Practice address

9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361

Phone

(310) 948-3970

Fax

(858) 724-2786

NPI assigned

Dec 17, 2018

Last updated

Jun 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamak Razavi, MARRIAGE AND FAMILY

Title

President

Phone

(310) 948-3970

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1447721311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10070 MESA RIM RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212912",
            "telephone_number": "310-948-3970",
            "fax_number": "858-724-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 PACIFIC HEIGHTS BLVD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214361",
            "telephone_number": "310-948-3970",
            "fax_number": "858-724-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CENTER AND FAMILY COUNSELING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "RAZAVI",
        "authorized_official_first_name": "JAMAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-948-3970",
        "authorized_official_credential": "MARRIAGE AND FAMILY"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B2019000162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.