Carol Simpson Dawidowicz, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

49433 Issued in CA

Practice address

5480 Baltimore Dr
Suite #250
La Mesa, CA 91942-2020

Phone

(858) 568-0456

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Kirkland Simpson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jennifer Lundy Family Therapy, Inc.

  • Clinical Psychologist
  • La Mesa, CA
  • NPI 1427320605

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1528102175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 VILLA TER APT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043491",
            "telephone_number": "858-568-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 BALTIMORE DR",
            "address_2": "SUITE #250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422020",
            "telephone_number": "858-568-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWIDOWICZ",
        "first_name": "CAROL",
        "middle_name": "SIMPSON",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "SIMPSON",
            "middle_name": "KIRKLAND",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose Davila, M.D.
• Cheryl Davis Plotts, MFT PSYD
• Ingrid Davis, OTR/L
• Tracie Lyn Davis, M.D., FACOG
• William Burton Davis, M.D.
• Sarah Jane Rios De Dios, NP
• Jarylynn Mariel De Guzman, PHARMD
• Karen Nicole De Jesus
• Lovella De la Cruz
• Kenya De la Roche

• Marriage & Family Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.