Miramar Health Physicians Group

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

MIRAMAR HEALTH PHYSICIANS GROUP

Practice address

1539 Garnett Ave.
San Diego, CA 92109

Phone

(619) 762-4632

Fax

(866) 675-5593

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Derik Brian

Title

Owner

Phone

(949) 370-0771

Specialties & licenses 5

Addresses

Other names 1

• Brain Therapy TMS Doing business as

Locations

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1982996724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ALTON ROAD",
            "address_2": "TH-4A",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "949-370-0771",
            "fax_number": "866-675-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 GARNETT AVE.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "619-762-4632",
            "fax_number": "866-675-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR HEALTH PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "BRIAN",
        "authorized_official_first_name": "DERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-370-0771"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Therapy TMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliet Miracle, BCBA
• Miracor Diagnostics, Inc.
• Maria Theresa Miraflor, RN
• Fidel Omlang Miralles Sr.
• Miramar Billing Solutions, Inc.
• Miramar Hospice, Inc.
• Daniela Yvette Miramon
• Laura Miramontes-Chaudhary, ND
• Dorothy Celina Miramontes
• Maria Miramontes

• Group Psychotherapy Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Group Psychotherapy Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.