NPIMap

Organization Active NPI

Pug Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oceanside, CA
National Provider Identifier
1447834908
Registry record updated May 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PUG THERAPY
Practice address
2103 S El Camino Real Ste 206
Oceanside, CA 92054-6281
Phone
(442) 500-8548
Fax
(760) 400-8379
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2023

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

Authorized official

Name
Dr. Sibelia L Chaiyahat, PSYD, LCSWNPI 1447346523
Title
President
Phone
(442) 500-8548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2103 S El Camino Real Ste 206
Oceanside, CA 92054-6281

Mailing address

2103 S El Camino Real Ste 206
Oceanside, CA 92054-6281
Phone (442) 500-8548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230828000900 CA Part B Supplier - Clinic/Group Practice 6406219211 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Locations

2103 S El Camino Real
Ste 202
Oceanside, CA 92054
Phone (442) 500-8548

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683936000000",
    "number": "1447834908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 S EL CAMINO REAL STE 206",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546281",
            "telephone_number": "442-500-8548",
            "fax_number": "760-400-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 S EL CAMINO REAL STE 206",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546281",
            "telephone_number": "442-500-8548",
            "fax_number": "760-400-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUG THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A",
        "authorized_official_last_name": "CHAIYAHAT",
        "authorized_official_first_name": "SIBELIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "442-500-8548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.