Individual provider Active NPI

Kenneth Eugene Breeding, PH.D., MFT

  • Marriage & Family Therapist
  • Carlsbad, CA
National Provider Identifier
1548419609
Registry record updated Sep 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 22083 Issued in CA
Practice address
3150 El Camino Real
Suite E
Carlsbad, CA 92008-2110
Phone
(760) 434-2423
Fax
(760) 434-9482
NPI assigned
Sep 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 22083 CA Primary

Addresses

Primary practice location

3150 El Camino Real
Suite E
Carlsbad, CA 92008-2110

Mailing address

4314 Stanford St
Carlsbad, CA 92010-7922
Phone (760) 434-2423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC 22083CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221264000000",
    "number": "1548419609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 STANFORD ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920107922",
            "telephone_number": "760-434-2423",
            "fax_number": "760-434-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 EL CAMINO REAL",
            "address_2": "SUITE E",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082110",
            "telephone_number": "760-434-2423",
            "fax_number": "760-434-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "KENNETH",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "PH.D., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-13",
        "last_updated": "2008-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 22083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2008; 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.