Jo Ellen Patterson, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

29682 Issued in CA

Practice address

Usd,Soles-MFT
5998 Alcala Park
San Diego, CA 92110-2492

Phone

(619) 260-2273

Fax

(619) 260-6826

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Marriage and Family Therapist

Education

Wake Forest University School of Medicine, 1977

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629288147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USD,SOLES-MFT",
            "address_2": "5998 ALCALA PARK",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102492",
            "telephone_number": "619-260-2273",
            "fax_number": "619-260-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USD,SOLES-MFT",
            "address_2": "5998 ALCALA PARK",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102492",
            "telephone_number": "619-260-2273",
            "fax_number": "619-260-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JO ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "29682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domonique Janae Patterson, MD
• Grace Patterson, RN
• Helen Rose Patterson
• Isabella Patterson
• Jaimie L Patterson
• Jonay Patterson
• Kaleah Patterson
• Kari An Patterson, PT, DPT
• Kate Patterson
• Kenneth John Patterson, D.D.S.

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.