Individual provider Active NPI

Patricia Williams Eichelberger, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1982871190
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC38984 Issued in CA
Practice address
4604 Point Loma Ave
San Diego, CA 92107-3823
Phone
(619) 223-4132
Fax
(619) 223-4132
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC38984 CA Primary

Addresses

Primary practice location

4604 Point Loma Ave
San Diego, CA 92107-3823

Mailing address

5100 Marlborough Dr
San Diego, CA 92116-2020
Phone (619) 977-4132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 14, 2025 through Nov 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC38984CAMDMarriage & Family Therapist
38984CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1982871190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 MARLBOROUGH DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162020",
            "telephone_number": "619-977-4132",
            "fax_number": "619-584-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 POINT LOMA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073823",
            "telephone_number": "619-223-4132",
            "fax_number": "619-223-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHELBERGER",
        "first_name": "PATRICIA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.