Interwoven Therapy Collective Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

INTERWOVEN THERAPY COLLECTIVE INC

Practice address

1807 Robinson Ave Ste 204
San Diego, CA 92103-7634

Phone

(619) 736-0621

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Kyleigh Baker, LMFTNPI 1922523059

Title

Owner

Phone

(925) 548-5562

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.

• Kyleigh Baker, MA

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1922523059
  NPD Authorized official

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1679282446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 ROBINSON AVE STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037634",
            "telephone_number": "619-736-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 ROBINSON AVE STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037634",
            "telephone_number": "619-736-0621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1807 Robinson Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921037634",
            "country_code": "US",
            "telephone_number": "619-736-0621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERWOVEN THERAPY COLLECTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KYLEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-548-5562",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-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 Nov 21, 2022; 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.