Organization Active NPI

Jeff Palitz MFT Inc

  • Community/Behavioral Health Agency
  • Chula Vista, CA
National Provider Identifier
1801039094
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC41250 Issued in CA
Legal business name
JEFF PALITZ MFT INC
Doing business as
Eastlake Community Counseling
Practice address
2400 Fenton St
Suite 205
Chula Vista, CA 91914-3596
Phone
(619) 271-8886
Fax
(619) 414-1277
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Jeffrey David Palitz, MFTNPI 1275507626
Title
Owner
Phone
(619) 271-8886

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
Community/Behavioral Health Agency 251S00000X MFC41250 CA Primary

Addresses

Primary practice location

2400 Fenton St
Suite 205
Chula Vista, CA 91914-3596

Mailing address

2400 Fenton St
Suite 205
Chula Vista, CA 91914-3596
Phone (619) 271-8886

Other names 1

  • Eastlake Community Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

2400 Fenton St
Ste 205
Chula Vista, CA 91914
Phone (619) 271-8886

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": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1801039094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 FENTON ST",
            "address_2": "SUITE 205",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143596",
            "telephone_number": "619-271-8886",
            "fax_number": "619-414-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FENTON ST",
            "address_2": "SUITE 205",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143596",
            "telephone_number": "619-271-8886",
            "fax_number": "619-414-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF PALITZ MFT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "PALITZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-271-8886",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC41250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastlake Community Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.