Bonnie Deroo Marriage and Family Therapy Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BONNIE DEROO MARRIAGE AND FAMILY THERAPY CORPORATION

Practice address

345 Santa Fe Dr
Encinitas, CA 92024-5132

Phone

(619) 083-0911

NPI assigned

Nov 10, 2023

Last updated

Nov 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie Joanne Deroo, LMFT, LPCC, PHDNPI 1598433369

Title

President and Ceo

Phone

(619) 483-0911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Bonnie Deroo, AMFT, APCC, PHD

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1598433369
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1841064722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 MIRA MESA BLVD STE 910825",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262758",
            "telephone_number": "619-483-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245132",
            "telephone_number": "619-083-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE DEROO MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "DEROO",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "619-483-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, LPCC, PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart Body, PH.D.
• Andrew Hagop Boghossian, PHARMD
• Bold Health Medical Group, a Professional Corporation (Bold Health)
• Joseph A Bonanno, M.D.
• Stacy Elizabeth Bonds, PHD
• Rashmi Boricha
• Taylor Borin
• Amanda Jayne Borlenghi, PSY.D
• Carrie Lee Borwell, CMT
• Owen Bowers, M.D.

• Marriage & Family Therapist in Encinitas, CA
• Providers in Encinitas, 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 Nov 10, 2023; 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.