Organization Active NPI

Feed Your Soul Family Therapy Inc

  • Counseling Psychologist
  • San Diego, CA
National Provider Identifier
1891527842
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
FEED YOUR SOUL FAMILY THERAPY INC
Practice address
10531 4S Commons Dr Ste 166-801
San Diego, CA 92127-3517
Phone
(858) 304-0453
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Nazanin ArkanNPI 1821714494
Title
Owner
Phone
(949) 412-6636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X

Addresses

Primary practice location

10531 4S Commons Dr Ste 166-801
San Diego, CA 92127-3517

Mailing address

10531 4S Commons Dr Ste 166-801
San Diego, CA 92127-3517
Phone (858) 304-0453

National Provider Directory

National Provider Directory

Locations

10531 4S Commons Dr
Ste 166801
San Diego, CA 92127
Phone (858) 304-0453

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1891527842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10531 4S COMMONS DR STE 166-801",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273517",
            "telephone_number": "858-304-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10531 4S COMMONS DR STE 166-801",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273517",
            "telephone_number": "858-304-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEED YOUR SOUL FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-18",
        "status": "A",
        "authorized_official_last_name": "ARKAN",
        "authorized_official_first_name": "NAZANIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-412-6636"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 19, 2024; 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.