Jacqueline Frances Crisologo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF81723 Issued in CA

Practice address

4283 El Cajon Blvd
Suite 115
San Diego, CA 92105-1289

Phone

(619) 521-1743

Fax

(619) 521-1896

NPI assigned

Nov 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1598019796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4283 EL CAJON BLVD",
            "address_2": "SUITE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051289",
            "telephone_number": "619-521-1743",
            "fax_number": "619-521-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 EL CAJON BLVD",
            "address_2": "SUITE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051289",
            "telephone_number": "619-521-1743",
            "fax_number": "619-521-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOLOGO",
        "first_name": "JACQUELINE",
        "middle_name": "FRANCES",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF81723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Linn Crim, IMF
• Crimson Center for Speech and Language
• Geoffrey Ian Criqui, MD
• Leah Hill Crisafi, M.D.
• Inga Crisci
• Martha Crisostomo-Morales
• Aurea Ballat Crisostomo-Reyes, D.M.D.
• Arleen Ballat Crisostomo-Weeks
• Caresse A Crisostomo, NP
• Charles Crisostomo, RN

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Sep 11, 2014; 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.