Organization Active NPI

TGN Therapy

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1821704909
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
TGN THERAPY
Practice address
10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648
Phone
(805) 409-7457
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Tracy Gilmour Nimoy, MS, LMFT, PMH-C
Title
LMFT, Founder
Phone
(818) 317-0431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648

Mailing address

10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648
Phone (805) 409-7457

National Provider Directory

National Provider Directory

Locations

10174 Old Grove Rd
Ste 110
San Diego, CA 92131
Phone (805) 409-7457

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1821704909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10174 OLD GROVE RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311648",
            "telephone_number": "805-409-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10174 OLD GROVE RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311648",
            "telephone_number": "805-409-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TGN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "GILMOUR NIMOY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "LMFT, FOUNDER",
        "authorized_official_telephone_number": "818-317-0431",
        "authorized_official_credential": "MS, LMFT, PMH-C"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Jan 23, 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.