SD Interview

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT53346 Issued in CA

Legal business name

SD INTERVIEW

Practice address

8885 Rio San Diego Dr Ste 365
San Diego, CA 92108-1627

Phone

(619) 964-8288

Fax

(619) 566-4126

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Michael Giancola

Title

LMFT

Phone

(619) 964-8288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1679007181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 365",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081627",
            "telephone_number": "619-964-8288",
            "fax_number": "619-566-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 365",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081627",
            "telephone_number": "619-964-8288",
            "fax_number": "619-566-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD INTERVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "GIANCOLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "619-964-8288"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT53346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SD Healthcare RX Inc
• SD Healthcare RX NC
• SD Healthcare Solutions
• SD Homecare Services
• SD Hospice, Inc.
• SD Medical Nutrition Therapy, PC
• SD Medical Solutions LLC
• SD Medical Transport
• SD Neuropsychological Associates, PC
• SD Nutrition Group

• 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 Apr 12, 2017; 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.