New Constellation Family Therapy Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

NEW CONSTELLATION FAMILY THERAPY INC.

Practice address

2525 Camino del Rio S Ste 305
San Diego, CA 92108-3784

Phone

(619) 821-4371

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Neal Edwards, LMFTNPI 1598075111

Title

Owner/Clinician

Phone

(619) 504-0786

Specialties & licenses 1

Addresses

Locations

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.

• Joseph Edwards, IMF

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1598075111
  NPD Authorized official

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1629800305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 DORSIE LN",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417335",
            "telephone_number": "619-504-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S STE 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083784",
            "telephone_number": "619-821-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CONSTELLATION FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "619-504-0786",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 20, 2024; 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.