Active NPI
Jennifer McDowell, BCBA
- Behavior Analyst
- Carlsbad, CA
National Provider Identifier
1710373659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 785 Grand Ave Ste 101
Carlsbad, CA 92008-2370 - Phone
- (760) 720-4964
- Fax
- (760) 720-5264
- NPI assigned
- Apr 7, 2015
- Last updated
- Apr 7, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF68792 | CA | |
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
785 Grand Ave Ste 101
Carlsbad, CA 92008-2370
Mailing address
785 Grand Ave Ste 101
Carlsbad, CA 92008-2370
Phone (760) 720-4964
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 |
|---|---|---|---|
| IMF68792 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephens Therapy Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- San Diego, CA
- NPI 1952874042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1710373659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 GRAND AVE STE 101",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082370",
"telephone_number": "760-720-4964",
"fax_number": "760-720-5264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 GRAND AVE STE 101",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082370",
"telephone_number": "760-720-4964",
"fax_number": "760-720-5264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "JENNIFER",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-07",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF68792",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.