Organization Active NPI

Jurate Psychotherapy and Consulting Inc.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1487986071
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 41727 Issued in CA
Legal business name
JURATE PSYCHOTHERAPY AND CONSULTING INC.
Practice address
9666 Businesspark Ave Ste 101
San Diego, CA 92131-1646
Phone
(858) 566-2771
Fax
(858) 536-8201
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Lisa Anne Petronis, MA, LMFT PHDNPI 1447463377
Title
President
Phone
(619) 787-2771

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 MFC 41727 CA Primary

Addresses

Primary practice location

9666 Businesspark Ave Ste 101
San Diego, CA 92131-1646

Mailing address

9666 Businesspark Ave Ste 101
San Diego, CA 92131-1646
Phone (858) 566-2771

National Provider Directory

National Provider Directory

Locations

9666 Businesspark Ave
Ste 101
San Diego, CA 92131
Phone (619) 787-2771

Practitioners & affiliated clinicians

Practitioners 1

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": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1487986071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9666 BUSINESSPARK AVE STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311646",
            "telephone_number": "858-566-2771",
            "fax_number": "858-536-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 BUSINESSPARK AVE STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311646",
            "telephone_number": "858-566-2771",
            "fax_number": "858-536-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURATE PSYCHOTHERAPY AND CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "PETRONIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-787-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MA, LMFT PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41727",
            "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 Feb 5, 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.