Active NPI
Mary Ann Tassone
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
National Provider Identifier
1700901774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1858
- Practice address
- 6244 El Cajon Blvd
Suite 15
San Diego, CA 92115 - Phone
- (619) 287-8225
- Fax
- (619) 287-4146
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1858 | CA | Primary |
Addresses
Primary practice location
6244 El Cajon Blvd
Suite 15
San Diego, CA 92115
Mailing address
5583 Michael St
San Diego, CA 92105-3844
Phone (619) 733-2374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1858 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1700901774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5583 MICHAEL ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921053844",
"telephone_number": "619-733-2374",
"fax_number": "619-741-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6244 EL CAJON BLVD",
"address_2": "SUITE 15",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92115",
"telephone_number": "619-287-8225",
"fax_number": "619-287-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASSONE",
"first_name": "MARY ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "1858",
"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 Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.