Active NPI
Christine Carlberg, LMFT
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1629446752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 122602
- Practice address
- 134 W del Amo Blvd
Long Beach, CA 90805-6339 - Phone
- (951) 764-6153
- NPI assigned
- Sep 6, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 122602 | CA | Primary |
Addresses
Primary practice location
134 W del Amo Blvd
Long Beach, CA 90805-6339
Mailing address
PO Box 609001
San Diego, CA 92160-9001
Phone (619) 528-4600
Other practice location 1
277 Rancheros Dr Ste 301
San Marcos, CA 92069-2993
Phone (760) 471-4073
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Centers at San Diego, Inc. Med GRP | Marriage & Family Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Mental Health Counselor
- San Diego, CA
- NPI 1841241585
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1629446752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 609001",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921609001",
"telephone_number": "619-528-4600",
"fax_number": "619-528-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W DEL AMO BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908056339",
"telephone_number": "951-764-6153"
}
],
"practiceLocations": [
{
"address_1": "277 Rancheros Dr Ste 301",
"address_purpose": "LOCATION",
"city": "San Marcos",
"state": "CA",
"postal_code": "920692993",
"country_code": "US",
"telephone_number": "760-471-4073",
"fax_number": "760-471-4078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLBERG",
"first_name": "CHRISTINE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-06",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.