Active NPI
Andreas Marwick Psychologist Inc
Doing business as Fern Therapy Group
- Psychologist
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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, 2024
- 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
- Andreas Marwick, PHD.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Oceanside, CA
- NPI 1184182214
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.