Organization Active NPI

LDS Family Services

Doing business as LDS Family Services CA San Diego

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
National Provider Identifier
1710069281
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services CA San Diego
Practice address
5675 Ruffin Road,
Suite 325
San Diego, CA 92123-1391
Phone
(858) 467-9170
Fax
(858) 467-9183
NPI assigned
Oct 20, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Todd Hunter Huisken, MFT
Title
Agency Director
Phone
(858) 467-9170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CA Primary

Addresses

Primary practice location

5675 Ruffin Road,
Suite 325
San Diego, CA 92123-1391

Mailing address

5675 Ruffin Road,
Suite 325
San Diego, CA 92123-1391
Phone (858) 467-9170

Other names 1

  • LDS Family Services CA San Diego Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LDS Family Services46 organizations share this tax ID, including this one
Part of
LDS Family Services

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Locations

5675 Ruffin Rd
Ste 325
San Diego, CA 92123
Phone (858) 467-9170

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1710069281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 RUFFIN ROAD,",
            "address_2": "SUITE 325",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231391",
            "telephone_number": "858-467-9170",
            "fax_number": "858-467-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 RUFFIN ROAD,",
            "address_2": "SUITE 325",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231391",
            "telephone_number": "858-467-9170",
            "fax_number": "858-467-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HUISKEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "858-467-9170",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services CA San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 2008; 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.