Miranda Millican Marriage and Family Therapist Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIRANDA MILLICAN MARRIAGE AND FAMILY THERAPIST INC

Practice address

3821 Front St
San Diego, CA 92103-3019

Phone

(619) 736-0495

NPI assigned

Oct 31, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Miranda Rose Roth Millican, LMFTNPI 1801178249

Title

Ceo

Phone

(619) 736-0495

Specialties & licenses 1

Addresses

Other names 1

• Wander Psychotherapy Doing business as

Practitioners 1

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

• Miranda Rose Roth Millican, MFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1801178249
  NPD Authorized official

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635638400000",
    "number": "1992460430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 FRONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033019",
            "telephone_number": "619-736-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 FRONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033019",
            "telephone_number": "619-736-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA MILLICAN MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A",
        "authorized_official_last_name": "MILLICAN",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "ROSE ROTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-736-0495",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "organization_name": "Wander Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Miramontes-Chaudhary, ND
• Dorothy Celina Miramontes
• Maria Miramontes
• Rafael Miramontes
• Miranda Chiropractic Specialty Group Inc.
• Sibelle Miranda-Urrea
• Adrianna Rodriguez Miranda, NP
• Ashanti Miranda
• Celyn Guaro Miranda
• Christine Elizabeth Miranda

• 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 Oct 31, 2021; 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.