Organization Active NPI

Center for Reflective Practice

  • Group Psychotherapy Psychologist
  • San Diego, CA
National Provider Identifier
1720616600
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
CENTER FOR REFLECTIVE PRACTICE
Practice address
9606 Tierra Grande St Ste 201
San Diego, CA 92126-6501
Phone
(619) 369-5050
Fax
(877) 485-5961
NPI assigned
Mar 27, 2020
Organization subpart
Yes
Parent organization
CENTER FOR THOUGHTFUL LASTING CHANGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Sherry Casper, PHDNPI 1255668455
Title
Owner
Phone
(619) 369-5050

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

9606 Tierra Grande St Ste 201
San Diego, CA 92126-6501

Mailing address

PO Box 421146
San Diego, CA 92142-1146
Phone (619) 369-5050

Other names 1

  • Center for Thoughtful Lasting Change Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ADMIN@CTLCSD.COM Direct

National Provider Directory

National Provider Directory
Part of
Center for Thoughtful

Interoperability endpoints

  • Direct secure messaging: admin@ctlcsd.com

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1720616600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421146",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921421146",
            "telephone_number": "619-369-5050",
            "fax_number": "877-485-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 TIERRA GRANDE ST STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266501",
            "telephone_number": "619-369-5050",
            "fax_number": "877-485-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR REFLECTIVE PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR THOUGHTFUL LASTING CHANGE",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "CASPER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-369-5050",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADMIN@CTLCSD.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9606 Tierra Grande St Ste 201",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921266501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Center for Thoughtful Lasting Change",
            "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 Mar 27, 2020; 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.