NPIMap

Organization Active NPI

Psycare, Inc.

  • Marriage & Family Therapist
  • Vista, CA
National Provider Identifier
1841532298
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52445 Issued in CA
Legal business name
PSYCARE, INC.
Practice address
2120 Thibodo Rd
Vista, CA 92081-7901
Phone
(858) 569-5642
Fax
(858) 467-7161
NPI assigned
Mar 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Miss Jenifer Ludwig
Title
Credentialing Manager
Phone
(858) 279-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 52445 CA Primary

Addresses

Primary practice location

2120 Thibodo Rd
Vista, CA 92081-7901

Mailing address

4550 Kearny Villa Rd
San Diego, CA 92123-1578
Phone (858) 279-1223

National Provider Directory

National Provider Directory
Tax ID family
Hammond Indiana Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4550 Kearny Villa Rd
San Diego, CA 92123
Phone (619) 259-0325

Practitioners & affiliated clinicians

Practitioners 6

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": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1841532298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231578",
            "telephone_number": "858-279-1223",
            "fax_number": "858-467-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 THIBODO RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817901",
            "telephone_number": "858-569-5642",
            "fax_number": "858-467-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "858-279-1223",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.