Organization Active NPI

Pamela Geraghty, LCSW

  • Adult Mental Health Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1619512522
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PAMELA GERAGHTY, LCSW
Practice address
2774 Jefferson St
Carlsbad, CA 92008-1769
Phone
(760) 575-4512
Fax
(760) 434-4789
NPI assigned
Nov 14, 2019
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Pamela Geraghty LCSW, LCSW
Title
Owner/Therapist
Phone
(760) 575-4512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2774 Jefferson St
Carlsbad, CA 92008-1769

Mailing address

2774 Jefferson St
Carlsbad, CA 92008-1769
Phone (760) 575-4512

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pamela@pgeraghtylcsw.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1619512522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 JEFFERSON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081769",
            "telephone_number": "760-575-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2774 JEFFERSON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081769",
            "telephone_number": "760-575-4512",
            "fax_number": "760-434-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA GERAGHTY, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "LCSW",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "GERAGHTY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "760-575-4512",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela@pgeraghtylcsw.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2774 Jefferson St",
            "city": "Carlsbad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920081769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 10, 2019; 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.