NPIMap

Organization Active NPI

San Diego Center for Neurofeedback

  • Marriage & Family Therapist
  • Lakeside, CA
National Provider Identifier
1497200406
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SAN DIEGO CENTER FOR NEUROFEEDBACK
Practice address
12064 Woodside Ave
Suite 105
Lakeside, CA 92040-2952
Phone
(619) 436-4263
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Dr. Tanya Hilber
Title
Clinical Psychologist
Phone
(619) 436-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

12064 Woodside Ave
Suite 105
Lakeside, CA 92040-2952

Mailing address

12064 Woodside Ave
Suite 105
Lakeside, CA 92040-2952
Phone (619) 436-4263

National Provider Directory

National Provider Directory
Tax ID family
San Diego Center for Neurofeedback2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1497200406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12064 WOODSIDE AVE",
            "address_2": "SUITE 105",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920402952",
            "telephone_number": "619-436-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12064 WOODSIDE AVE",
            "address_2": "SUITE 105",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920402952",
            "telephone_number": "619-436-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO CENTER FOR NEUROFEEDBACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "HILBER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-436-4263",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.