Organization Active NPI

Andreas Marwick Psychologist Inc

Doing business as Fern Therapy Group

  • Psychologist
  • Oceanside, CA
National Provider Identifier
1801644737
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ANDREAS MARWICK PSYCHOLOGIST INC
Doing business as
Fern Therapy Group
Practice address
1410 Belleaire St
Oceanside, CA 92054-5502
Phone
(858) 945-4686
NPI assigned
May 7, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Andreas Marwick, PHD.NPI 1184182214
Title
Director
Phone
(858) 945-4686

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1410 Belleaire St
Oceanside, CA 92054-5502

Mailing address

1759 Oceanside Blvd, Ste C, #322
Oceanside, CA 92054
Phone (858) 945-4686

Other names 1

  • Fern Therapy Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241223002660 CA Part B Supplier - Clinic/Group Practice 3779010210 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Locations

1759 Oceanside Blvd
Ste C
Oceanside, CA 92054
Phone (619) 431-2272

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1801644737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 OCEANSIDE BLVD, STE C, #322",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92054",
            "telephone_number": "858-945-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BELLEAIRE ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545502",
            "telephone_number": "858-945-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREAS MARWICK PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MARWICK",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-945-4686",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fern Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.