Colleen McBride, LMFT139089

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

139089 Issued in CA

Practice address

703 Palomar Airport Rd Ste 225
Carlsbad, CA 92011-1049

Phone

(858) 731-6148

NPI assigned

Nov 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1689897100
  NPD (past)

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1811231293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PALOMAR AIRPORT RD STE 225",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111049",
            "telephone_number": "858-731-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PALOMAR AIRPORT RD STE 225",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111049",
            "telephone_number": "858-731-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "LMFT139089",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon G May, PH.D.
• Evelyn Maya
• Karina Maynard
• Robert William McAlister Jr., PSY.D
• Chandra Nicole McAtee, M.T.
• Stephanie McCabe
• Mireade McCallen
• Courtney McCarty
• Krysten McCaughey, MS, RD
• Wrex McCay

• Marriage & Family Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; 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.