Active NPI
Nadav Rick Sklar, MFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1831555887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT30956
- Practice address
- 6176 Agee St Unit 104
San Diego, CA 92122-3625 - Phone
- (805) 452-7700
- NPI assigned
- Jan 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT30956 | CA | Primary |
Addresses
Primary practice location
6176 Agee St Unit 104
San Diego, CA 92122-3625
Mailing address
6176 Agee St Unit 104
San Diego, CA 92122-3625
Phone (805) 452-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT30956 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1831555887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6176 AGEE ST UNIT 104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921223625",
"telephone_number": "805-452-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6176 AGEE ST UNIT 104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921223625",
"telephone_number": "805-452-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKLAR",
"first_name": "NADAV",
"middle_name": "RICK",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-06",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT30956",
"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 Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.