NPIMap

Organization Active NPI

Centro Ilumina Family Counseling Services, Inc

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1497131569
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT77672 Issued in CA
Legal business name
CENTRO ILUMINA FAMILY COUNSELING SERVICES, INC
Doing business as
centro ilumina
Practice address
3435 Camino del Rio S Ste 206
San Diego, CA 92108-3911
Phone
(619) 494-0990
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Dr. Sara Yutkewich de Behar, PSYD
Title
Ceo
Phone
(858) 414-5164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LMFT77672 CA Primary

Addresses

Primary practice location

3435 Camino del Rio S Ste 206
San Diego, CA 92108-3911

Mailing address

3435 Camino del Rio S Ste 206
San Diego, CA 92108-3911
Phone (619) 494-0990

Other names 1

  • centro ilumina Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1497131569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083911",
            "telephone_number": "619-494-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083911",
            "telephone_number": "619-494-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO ILUMINA FAMILY COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "YUTKEWICH DE BEHAR",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-414-5164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT77672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "centro ilumina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 30, 2015; 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.