NPIMap

Organization Active NPI

San Diego Psychotherapy and Wellness Center Inc.

  • Marriage & Family Therapist
  • Oceanside, CA
National Provider Identifier
1477909331
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
84629 Issued in CA
Legal business name
SAN DIEGO PSYCHOTHERAPY AND WELLNESS CENTER INC.
Practice address
705 Pier View Way Ste a
Oceanside, CA 92054-2848
Phone
(442) 500-8200
Fax
(442) 615-7422
NPI assigned
May 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Arilda Surridge, LMFTNPI 1326357328
Title
Owner/Director
Phone
(619) 997-3260

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 84629 CA Primary

Addresses

Primary practice location

705 Pier View Way Ste a
Oceanside, CA 92054-2848

Mailing address

705 Pier View Way Ste a
Oceanside, CA 92054-2848
Phone (442) 500-8200

Other practice location 1

710 Ericksen Ave NE Ste 100
Bainbridge Island, WA 98110-2835
Phone (619) 997-3260

National Provider Directory

National Provider Directory

Locations

705 Pier View Way
Ste A
Oceanside, CA 92054
Phone (442) 500-8200

Practitioners & affiliated clinicians

Practitioners 5

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": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1477909331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 PIER VIEW WAY STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542848",
            "telephone_number": "442-500-8200",
            "fax_number": "442-615-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PIER VIEW WAY STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542848",
            "telephone_number": "442-500-8200",
            "fax_number": "442-615-7422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Ericksen Ave NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bainbridge Island",
            "state": "WA",
            "postal_code": "981102835",
            "country_code": "US",
            "telephone_number": "619-997-3260",
            "fax_number": "442-615-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN DIEGO PSYCHOTHERAPY AND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "SURRIDGE",
        "authorized_official_first_name": "ARILDA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "619-997-3260",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84629",
            "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 Sep 6, 2019; 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.