Organization Active NPI

Family Systems and Child Therapy, Inc.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1679031736
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FAMILY SYSTEMS AND CHILD THERAPY, INC.
Practice address
2878 Camino del Rio S Ste 200
San Diego, CA 92108-3845
Phone
(619) 784-6793
NPI assigned
Mar 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
Thi Wlodarski, LMFTNPI 1104237254
Title
Ceo
Phone
(619) 784-6703

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2878 Camino del Rio S Ste 200
San Diego, CA 92108-3845

Mailing address

2878 Camino del Rio S Ste 200
San Diego, CA 92108-3845
Phone (619) 784-6793

National Provider Directory

National Provider Directory

Locations

2878 Camino del Rio S
Ste 200
San Diego, CA 92108
Phone (619) 784-6703

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1679031736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 CAMINO DEL RIO S STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083845",
            "telephone_number": "619-784-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 CAMINO DEL RIO S STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083845",
            "telephone_number": "619-784-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SYSTEMS AND CHILD THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "WLODARSKI",
        "authorized_official_first_name": "THI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-784-6703",
        "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": []
}

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 Mar 7, 2019; 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.