Active NPI
Ian Scully
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1992268478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 155739
- Practice address
- 4309 3Rd Ave
San Diego, CA 92103-1407 - Phone
- (619) 876-4502
- Fax
- (619) 876-4512
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | 155739 | CA | Primary |
| Behavior Technician | 106S00000X | CA |
Addresses
Primary practice location
4309 3Rd Ave
San Diego, CA 92103-1407
Mailing address
4309 3Rd Ave
San Diego, CA 92103-1407
Phone (619) 876-4502
Other practice location 1
446 Alta Rd Ste 6100
San Diego, CA 92158-0001
Phone (619) 671-4400
Other practice location 2
9400 Ruffin Ct
San Diego, CA 92123-5300
Phone (858) 357-6879
Other practice location 3
3002 Armstrong St
San Diego, CA 92111-5702
Phone (858) 277-9550
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1992268478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 3RD AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031407",
"telephone_number": "619-876-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 3RD AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031407",
"telephone_number": "619-876-4502",
"fax_number": "619-876-4512"
}
],
"practiceLocations": [
{
"address_1": "446 Alta Rd Ste 6100",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921580001",
"country_code": "US",
"telephone_number": "619-671-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9400 Ruffin Ct",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921235300",
"country_code": "US",
"telephone_number": "858-357-6879",
"fax_number": "858-598-5007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3002 Armstrong St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921115702",
"country_code": "US",
"telephone_number": "858-277-9550",
"fax_number": "858-694-0843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCULLY",
"first_name": "IAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "155739",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"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 Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.