Active NPI
Maegan Kimberly Annette Nelson, LMFT
- Marriage & Family Therapist
- Chula Vista, CA
National Provider Identifier
1962842534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 80387
- Practice address
- 1061 Tierra del Rey Ste 200
Chula Vista, CA 91910-7881 - Phone
- (619) 498-5454
- Fax
- (619) 528-4625
- NPI assigned
- Jun 27, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 80387 | CA | Primary |
Addresses
Primary practice location
1061 Tierra del Rey Ste 200
Chula Vista, CA 91910-7881
Mailing address
PO Box 609001
San Diego, CA 92160-9001
Phone (619) 528-4600
Other practice location 1
730 Medical Center Ct
Chula Vista, CA 91911-6618
Phone (619) 397-6994
Other practice location 2
730 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 397-6994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80387 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Centers at San Diego, Inc. Med GRP | Marriage & Family Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- San Diego, CA
- NPI 1841241585
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1962842534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 609001",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921609001",
"telephone_number": "619-528-4600",
"fax_number": "619-528-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 TIERRA DEL REY STE 200",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107881",
"telephone_number": "619-498-5454",
"fax_number": "619-528-4625"
}
],
"practiceLocations": [
{
"address_1": "730 Medical Center Ct",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919116618",
"country_code": "US",
"telephone_number": "619-397-6994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 Medical Center Ct",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "91911",
"country_code": "US",
"telephone_number": "619-397-6994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "MAEGAN",
"middle_name": "KIMBERLY ANNETTE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-27",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "80387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.