San Diego County

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48542 Issued in CA

Legal business name

SAN DIEGO COUNTY

Practice address

3177 Ocean View Blvd
San Diego, CA 92113-1432

Phone

(619) 987-2797

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Anne Fitzgerald, LCSWNPI 1831315894

Title

Clinical Supervisor

Phone

(619) 595-4418

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Anne Louise Fitzgerald, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1831315894
  Authorized official Same address or phone
• Danny A Meadows-Partida, PH.D., LMFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1194916478
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1861523003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8690 AERO DR",
            "address_2": "SUITE 115-41",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231886",
            "telephone_number": "619-987-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 OCEAN VIEW BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921131432",
            "telephone_number": "619-987-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "619-595-4418",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• San Diego Comprehensive Pain Management Inc
• San Diego County Case Management
• San Diego County Dental Foundation
• San Diego County Hhsa
• San Diego County Medical Services Program
• San Diego County Medical Services Program

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Aug 21, 2012; 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.