Child Therapy San Diego

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

52988 Issued in CA

Legal business name

CHILD THERAPY SAN DIEGO

Practice address

1761 Hotel Cir S Ste 118
San Diego, CA 92108-3318

Phone

(858) 232-1836

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Raphaella Croccia, LMFTNPI 1962716886

Title

Owner

Phone

(858) 232-1836

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Raphaella Croccia, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1962716886
  NPD (past) Authorized official
• Linda Alethiea Nguyen

  • Professional Counselor
  • San Diego, CA
  • NPI 1225952757
  NPD (past)

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1477098242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 HOTEL CIR S STE 118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083318",
            "telephone_number": "858-232-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 HOTEL CIR S STE 118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083318",
            "telephone_number": "858-232-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD THERAPY SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "CROCCIA",
        "authorized_official_first_name": "RAPHAELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-232-1836",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Chilazi
• Kara Chilcote, LMFT
• James Matthew Chilcott Jr., RN
• Child Enrichment Center
• Child Led Therapy LLC
• Diana Jane Childers, M.D.
• Joseph Michael Childers
• Richard C Childers, M.D.
• Sara Rose Childers
• Soquel Childers

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.