Individual provider Active NPI

April Marie Minjarez, PHD, LMFT

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1740476423
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32273 Issued in CA
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

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
32273CAMDClinical Psychologist
MFC50109CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.