Organization Active NPI

Marriage Family and Child Therapist, Inc

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1508000837
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC15021 Issued in CA
Legal business name
MARRIAGE FAMILY AND CHILD THERAPIST, INC
Practice address
2423 Camino del Rio S
Suite 104
San Diego, CA 92108-3702
Phone
(858) 610-1460
Fax
(619) 533-3459
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Mrs. Linda Erwin-Gallagher, MFT
Title
Ceo, President
Phone
(858) 610-1460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC15021 CA Primary

Addresses

Primary practice location

2423 Camino del Rio S
Suite 104
San Diego, CA 92108-3702

Mailing address

8596 Rumex LN
San Diego, CA 92129-4142
Phone (858) 610-1460

National Provider Directory

National Provider Directory

Locations

2423 Camino del Rio S
Ste 104
San Diego, CA 92108
Phone (858) 610-1460

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1508000837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8596 RUMEX LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294142",
            "telephone_number": "858-610-1460",
            "fax_number": "619-533-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 CAMINO DEL RIO S",
            "address_2": "SUITE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083702",
            "telephone_number": "858-610-1460",
            "fax_number": "619-533-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE FAMILY AND CHILD THERAPIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "ERWIN-GALLAGHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "858-610-1460",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC15021",
            "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 May 4, 2009; 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.