Active NPI
Maricela Aiken
- Behavior Technician
- San Diego, CA
National Provider Identifier
1558054965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 25-407980
- Practice address
- 3702 Ruffin Rd Ste 100
San Diego, CA 92123-1893 - Phone
- (619) 297-4300
- Fax
- (619) 297-4400
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | 25-407980 | CA | Primary |
Addresses
Primary practice location
3702 Ruffin Rd Ste 100
San Diego, CA 92123-1893
Mailing address
1950 Market St
Riverside, CA 92501-1720
Phone (909) 530-5900
Other practice location 1
1950 Market St
Riverside, CA 92501-1720
Phone (909) 530-5900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-407980 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Carinci Psychology Inc | Current | Accepting new patients | |
| Childnet Youth and Family Services, Inc. | Case Manager/Care Coordinator | Past | Accepting new patients |
Locations
3702 Ruffin Rd
Ste 100
San Diego, CA 92123
Phone (619) 297-4300
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1851738934
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1275991465
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1558054965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 MARKET ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011720",
"telephone_number": "909-530-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 RUFFIN RD STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231893",
"telephone_number": "619-297-4300",
"fax_number": "619-297-4400"
}
],
"practiceLocations": [
{
"address_1": "1950 Market St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925011720",
"country_code": "US",
"telephone_number": "909-530-5900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AIKEN",
"first_name": "MARICELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "25-407980",
"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 Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.