Active NPI
Innovative Therapy 4 Kids Inc
- Clinical Psychologist
- Carlsbad, CA
National Provider Identifier
1760579015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- SP9589
- Legal business name
- INNOVATIVE THERAPY 4 KIDS INC
- Practice address
- 2333 State St
Suite 201
Carlsbad, CA 92008-1691 - Phone
- (760) 434-3912
- Fax
- (760) 434-3871
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laura Jane Walls, MS CCCSLP
- Title
- Oral Motor Specialist Director
- Phone
- (760) 434-3912
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SP9589 | CA | |
| Clinical Psychologist | 103TC0700X | SP9589 | CA | Primary |
| Pediatric Physical Therapist | 2251P0200X | SP9589 | CA | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | SP9589 | CA | |
| Speech-Language Pathologist | 235Z00000X | SP9589 | CA |
Addresses
Primary practice location
2333 State St
Suite 201
Carlsbad, CA 92008-1691
Mailing address
2333 State St
Suite 201
Carlsbad, CA 92008-1691
Phone (760) 434-3912
National Provider Directory
National Provider DirectoryLocations
2333 State St
Ste 201
Carlsbad, CA 92008
Phone (760) 434-3912
Practitioners & affiliated clinicians
Practitioners 1
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": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1760579015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 STATE ST",
"address_2": "SUITE 201",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081691",
"telephone_number": "760-434-3912",
"fax_number": "760-434-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 STATE ST",
"address_2": "SUITE 201",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081691",
"telephone_number": "760-434-3912",
"fax_number": "760-434-3871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE THERAPY 4 KIDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WALLS",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "ORAL MOTOR SPECIALIST DIRECTOR",
"authorized_official_telephone_number": "760-434-3912",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS CCCSLP"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "SP9589",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "SP9589",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "SP9589",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CA",
"license": "SP9589",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP9589",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
- Indigo Angels Homecare LLC
- Lakeith Ingram
- Julianna J Inigo
- Jose Alberto Iniguez
- Mikaela Inman, DPT
- Andrew Guy Bayuda Inocelda, , PA-C
- Inspire Psychiatric Nursing Services Inc
- Integrative and Holistic Center for Hormone Balancing, Inc.
- Integrative Mind & Health a Professional Nursing Corporation
- Integrity Marriage and Family Counseling Inc (Integrity Counseling Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.