Douglas Baker Marriage and Family Therapy, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DOUGLAS BAKER MARRIAGE AND FAMILY THERAPY, INC.

Practice address

4025 Camino del Rio S # 329
San Diego, CA 92108-4107

Phone

(619) 261-9269

Fax

(619) 618-0688

NPI assigned

Mar 30, 2020

Organization subpart

No

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

Authorized official

Name

Douglas J Baker, LMFTNPI 1588981021

Title

President

Phone

(619) 261-9269

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy Parks, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1114048824
  Medicare reassignment NPD
• Douglas J Baker, MFT

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1588981021
  NPD Authorized official

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1972131589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 1/2 E MOUNTAIN VIEW DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163713",
            "telephone_number": "619-261-9269",
            "fax_number": "619-618-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S # 329",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084107",
            "telephone_number": "619-261-9269",
            "fax_number": "619-618-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS BAKER MARRIAGE AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-261-9269",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose Dougherty, M.D.
• Joshua Don Dougherty, PMHNP
• Megan Dougherty, LCSW
• Floyd Arthur Doughty, M.D.
• Marley Doughty
• Douglas Crowley MD, Inc
• Douglas Dobecki, Medical Doctor, Incorporated
• Douglas M Grosmark DMD Incorporated
• Douglas M Keel DO Inc
• Dana Douglas-Hiley, M.S.,CCC

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.