Active NPI
Groundswell Clinic Inc
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1659187144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- GROUNDSWELL CLINIC INC
- Practice address
- 1220 Rosecrans St
San Diego, CA 92106-2674 - Phone
- (310) 749-6289
- NPI assigned
- Dec 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalie Small
- Title
- LMFT
- Phone
- (310) 749-6289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1220 Rosecrans St
San Diego, CA 92106-2674
Mailing address
1220 Rosecrans St
San Diego, CA 92106-2674
Phone (310) 749-6289
National Provider Directory
National Provider DirectoryLocations
1220 Rosecrans St
San Diego, CA 92106
Phone (310) 749-6289
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1871949180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1659187144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 ROSECRANS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921062674",
"telephone_number": "310-749-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 ROSECRANS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921062674",
"telephone_number": "310-749-6289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROUNDSWELL CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "SMALL",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "LMFT",
"authorized_official_telephone_number": "310-749-6289"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.