Organization Active NPI

One Stop Evolve Individual & Family Psychotherapy PC

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1609533629
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ONE STOP EVOLVE INDIVIDUAL & FAMILY PSYCHOTHERAPY PC
Practice address
5252 Balboa Ave Ste 801
San Diego, CA 92117-6970
Phone
(858) 247-1928
NPI assigned
Nov 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Neshmil Ariy, LMFTNPI 1639440886
Title
Ceo
Phone
(858) 247-1928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5252 Balboa Ave Ste 801
San Diego, CA 92117-6970

Mailing address

5252 Balboa Ave Ste 801
San Diego, CA 92117-6970
Phone (858) 247-1928

Other identifiers 1

IdentifierTypeStateIssuer
1639440886OtherCANPI

National Provider Directory

National Provider Directory

Locations

5252 Balboa Ave
Ste 801
San Diego, CA 92117
Phone (858) 247-1774

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1609533629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 801",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176970",
            "telephone_number": "858-247-1928",
            "fax_number": "855-975-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 801",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176970",
            "telephone_number": "858-247-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP EVOLVE INDIVIDUAL & FAMILY PSYCHOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "ARIY",
        "authorized_official_first_name": "NESHMIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-247-1928",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639440886",
            "state": "CA"
        }
    ],
    "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 Nov 24, 2021; 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.