Riley Cormack, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18 Issued in CA

Practice address

2214 5TH Ave
San Diego, CA 92101-2104

Phone

(619) 512-3545

NPI assigned

Mar 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michael McCormack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1992976880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012104",
            "telephone_number": "619-512-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012104",
            "telephone_number": "619-512-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMACK",
        "first_name": "RILEY",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MCCORMACK",
            "credential": "MA, LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Cecilia Corley
• Jeffrey Patrick Corley
• Jeneen D Corley
• Jessica Corley
• Sarange Corley
• Daniel Michael Corman, DO
• Julia Lucia Cormano, M.D.
• Joanna Rachel Corn, MS, RD, CNSD
• Madison Rae Corn
• Raquel Cornejo Pina, MD

• Professional Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.