Active NPI
April Marie Minjarez, PHD, LMFT
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1740476423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32273
- Practice address
- 11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644 - Phone
- (858) 790-8810
- NPI assigned
- Sep 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MFC50109 | CA | |
| Clinical Psychologist | 103TC0700X | 32273 | CA | Primary |
Addresses
Primary practice location
11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644
Mailing address
11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644
Phone (858) 790-8810
Other practice location 1
5005 Texas St
Suite 203
San Diego, CA 92108-3721
Phone (619) 692-0727 ext. 139
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210111002443 | CA | Practitioner - Clinical Psychologist | 9537572565 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11440 W Bernardo CT
Suite 300
San Diego, CA 92127-1644
Phone (858) 790-8810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32273 | CA | MD | Clinical Psychologist |
| MFC50109 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Psychology, Inc | Clinical | Current | Accepting new patients |
| All Care Physical Therapy, P.C. | Past | Accepting new patients |
Locations
11440 W Bernardo Ct
Ste 300
San Diego, CA 92127
Phone (760) 884-4729
Organizations & group practices 2
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.
-
- Clinical Psychologist
- San Diego, CA
- NPI 1780397414
-
- Physical Therapist
- Woodland Hills, CA
- NPI 1104120385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608336000000",
"number": "1740476423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11440 W BERNARDO CT STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921271644",
"telephone_number": "858-790-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11440 W BERNARDO CT STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921271644",
"telephone_number": "858-790-8810"
}
],
"practiceLocations": [
{
"address_1": "5005 Texas St",
"address_2": "Suite 203",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083721",
"country_code": "US",
"telephone_number": "619-692-0727 x139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINJAREZ",
"first_name": "APRIL",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHD, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-17",
"last_updated": "2020-12-19",
"certification_date": "2020-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC50109",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "32273",
"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 Dec 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.