Individual provider Active NPI

Savannah Nicole Schwenning, MA, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1629849070
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
134549 Issued in CA
Practice address
16935 W Bernardo Dr Ste 122
San Diego, CA 92127-1623
Phone
(858) 868-5558
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 134549 CA Primary

Addresses

Primary practice location

16935 W Bernardo Dr Ste 122
San Diego, CA 92127-1623

Mailing address

8860 Villa la Jolla Dr Unit 220
La Jolla, CA 92037-1963
Phone (916) 626-1514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 13, 2024 through Jan 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
134549CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panganiban Marriage and Family Therapy Inc. Marriage & Family Therapist CurrentSince Jan 21, 2024 Accepting new patients

Locations

16935 W Bernardo Dr
Ste 122
San Diego, CA 92127
Phone (480) 234-8363

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.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1629849070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 VILLA LA JOLLA DR UNIT 220",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371963",
            "telephone_number": "916-626-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16935 W BERNARDO DR STE 122",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271623",
            "telephone_number": "858-868-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWENNING",
        "first_name": "SAVANNAH",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.