Individual provider Active NPI

David Alin Kohanyi, LMFT

  • Marriage & Family Therapist
  • La Mesa, CA
National Provider Identifier
1730459546
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
88828 Issued in CA
Practice address
8881 Fletcher Pkwy Ste 350-360
La Mesa, CA 91942-3134
Phone
(877) 329-0982
NPI assigned
Jan 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 88828 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy Ste 350-360
La Mesa, CA 91942-3134

Mailing address

8881 Fletcher Pkwy Ste 350-360
La Mesa, CA 91942-3134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506003398 CA Practitioner - Marriage and Family Therapist 6709226822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88828CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Mar 23, 2024 Accepting new patients
Psychiatric Centers at San Diego, Inc. Med GRP Marriage & Family Therapist PastSince Sep 1, 1991 Accepting new patients
Psychology Specialists LTD PastSince Jan 29, 2023 Accepting new patients
Pacific Coast Psychiatric Associates Inc PastSince Feb 9, 2020 Accepting new patients
Mark David Levine, MD Burlingame PC Past Accepting new patients

Locations

8881 Fletcher Pkwy
Ste 350360
La Mesa, CA 91942
Phone (877) 329-0982

8881 Fletcher Pkwy
Ste 360
La Mesa, CA 91942
Phone (619) 460-2700

8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

Interoperability endpoints

  • Direct secure messaging: carly.blalack.p1@direct.pcsd.nextgenshare.com
  • Direct secure messaging: carly.blalack.d1.p1@direct.pcsd.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1730459546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 350-360",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 350-360",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "877-329-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANYI",
        "first_name": "DAVID",
        "middle_name": "ALIN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "88828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.