NPIMap

Organization Active NPI

The Family Guidance & Therapy Center of Southern California

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1780989301
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47573 Issued in CA
Legal business name
THE FAMILY GUIDANCE & THERAPY CENTER OF SOUTHERN CALIFORNIA
Practice address
3555 Kenyon St Ste 101
San Diego, CA 92110-5341
Phone
(619) 600-0683
Fax
(619) 600-0683
NPI assigned
Jan 12, 2011
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Mrs. Jennifer Ryan Palmiotto, LMFTNPI 1023241502
Title
Owner
Phone
(619) 600-0683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 47573 CA Primary

Addresses

Primary practice location

3555 Kenyon St Ste 101
San Diego, CA 92110-5341

Mailing address

3405 Wisteria Dr
San Diego, CA 92106-1147
Phone (619) 600-0683

National Provider Directory

National Provider Directory

Locations

135 Keller St
Ste C
Petaluma, CA 94952
Phone (619) 600-0683

3555 Kenyon St
Ste 101
San Diego, CA 92110
Phone (619) 600-0683

3575 Kenyon St
Ste 102
San Diego, CA 92110
Phone (619) 600-0683

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1780989301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 WISTERIA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061147",
            "telephone_number": "619-600-0683",
            "fax_number": "619-600-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 KENYON ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105341",
            "telephone_number": "619-600-0683",
            "fax_number": "619-600-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY GUIDANCE & THERAPY CENTER OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "PALMIOTTO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-600-0683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47573",
            "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 Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.