Active NPI
Mallory Mitchell, LMFT
- Marriage & Family Therapist
- Solana Beach, CA
National Provider Identifier
1750726105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85706
- Practice address
- 990 Highland Dr Ste 110Y
Solana Beach, CA 92075-3403 - Phone
- (619) 997-2055
- NPI assigned
- Apr 29, 2013
- 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 | IMF 68929 | CA | |
| Marriage & Family Therapist | 106H00000X | 85706 | CA | Primary |
Addresses
Primary practice location
990 Highland Dr Ste 110Y
Solana Beach, CA 92075-3403
Mailing address
5535 Caminito Vello
San Diego, CA 92130-2827
Phone (619) 997-2055
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 |
|---|---|---|---|
| 85706 | CA | MD | Marriage & Family Therapist |
| IMF 68929 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1750726105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 CAMINITO VELLO",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302827",
"telephone_number": "619-997-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 HIGHLAND DR STE 110Y",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920753403",
"telephone_number": "619-997-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MALLORY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-29",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 68929",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "85706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Solana Beach, CA
- Bernard Michals, L.C.S.W.
- Miriam P Miller, L.AC.
- Minute Clinic
- Mission Psychiatric Inc.
- Katie Mitchell, DPT
- Money and Soul, Financial, Individual, Marriage and Family Therapy (Money and Soul)
- Cindy Mong, M.D.
- Sandy Mong, MD
- Monica Perlman MD Inc. (Perlman Clinic)
- Monica Perlman MD, Inc (Perlman Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.