DR. CARLA BETH MARIENFELD (NPI# 1104007657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104007657 |
| Entity Type | Individual |
| Full Name | DR. CARLA BETH MARIENFELD |
| Credential | MD |
| Practice Address |
8950 Villa La Jolla Dr Suite C207 La Jolla CA 92037-1714 |
| Mailing Address |
9500 Gilman Dr Mail Code 0957 La Jolla CA 92093-0957 |
| Practice Telephone | 8585348730 |
| Practice Fax Number | 8585348863 |
| Mailing Telephone | 8585348730 |
| Mailing Fax Number | 8585348863 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
047856 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A142922 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
047856 | CT | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
047856 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
A142922 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008003745 | 05 | |
| CT | MEDICARE PROVIDER/SUPPLIER NUMBER | D400073259 | 01 |
| Street Address |
8950 VILLA LA JOLLA DR SUITE C207 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831184183 | James Alan Carter | Psychologist | 8950 Villa La Jolla Dr, Suite C113, La Jolla, CA 92037-1714 | 2005-09-13 |
| 1710523543 | Jessica Tripp | Psychologist | 8950 Villa La Jolla Dr, Ste A220, La Jolla, CA 92037-1711 | 2019-11-27 |
| 1841724952 | Aculife, Inc. | Acupuncturist | 8950 Villa La Jolla Dr, Suite B212, La Jolla, CA 92037-1714 | 2017-04-14 |
| 1780120287 | Emily Edmonds | Psychologist | 8950 Villa La Jolla Dr, Suite C207, La Jolla, CA 92037-1714 | 2017-01-09 |
| 1184166282 | Adam Silberman | Naturopath | 8950 Villa La Jolla Dr, Suite #a107, La Jolla, CA 92037-1714 | 2016-11-07 |
| 1801347547 | Mariel Gallet | Acupuncturist | 8950 Villa La Jolla Dr, B212, La Jolla, CA 92037-1714 | 2016-10-18 |
| 1295181352 | Lynda Carter | Acupuncturist | 8950 Villa La Jolla Dr, Suite B-129, La Jolla, CA 92037-1714 | 2016-05-09 |
| 1699137703 | Melissa Minger Dmd Inc | Durable Medical Equipment & Medical Supplies | 8950 Villa La Jolla Dr, Suite A-105, La Jolla, CA 92037-1714 | 2016-03-28 |
| 1174983027 | April Beth L'heureux | Marriage & Family Therapist | 8950 Villa La Jolla Dr, #b206-2, La Jolla, CA 92037-1714 | 2016-03-03 |
| 1871960070 | Allergy and Acupuncture Center | Acupuncturist | 8950 Villa La Jolla Dr, Suite C117, La Jolla, CA 92037-1714 | 2015-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619930542 | Tracy R Kuranaka | Psychiatry & Neurology | 4225 Executive Square, #1130, La Jolla, CA 92037 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184111494 | Lags Spine and Sportscare Medical Centers, Inc. | Psychiatry & Neurology | 1223 Higuera St Ste 101, San Luis Obispo, CA 93401-3167 | 2018-04-23 |
| 1053808899 | Klc Consultants, PC | Psychiatry & Neurology | 1808 Verdugo Blvd Ste 319, Glendale, CA 91208-1486 | 2018-04-17 |
| 1780196733 | Acceptance Detox LLC | Psychiatry & Neurology | 18779 Palm St, Fountain Valley, CA 92708-6428 | 2017-10-31 |
| 1952824021 | Novation Behavioral Health, LLC | Psychiatry & Neurology | 1707 E Bay Ave, Newport Beach, CA 92661-1453 | 2017-07-20 |
| 1912362567 | Sanjoy Sathpathy, M.d. Inc | Psychiatry & Neurology | 9888 Carroll Center Road, 218, San Diego, CA 92126-4515 | 2015-12-28 |
| 1043562630 | San Diego Professional Group, P. C. | Psychiatry & Neurology | 41655 Date St, Suite 101a, Murrieta, CA 92562-7040 | 2012-10-08 |
| 1841591690 | David E. Brody | Psychiatry & Neurology | 13200 South Bloomfield Ave, Norwalk, CA 90650 | 2010-11-10 |
| 1124342647 | Vicki Kalira | Psychiatry & Neurology | 150 Muir Rd Bldg 24, Martinez, CA 94553-4668 | 2010-03-26 |
| 1710127964 | Pacific Composure Psychiatry & Hypnotherapy | Psychiatry & Neurology | 180 7th Ave Ste 103, Santa Cruz, CA 95062-4732 | 2009-02-28 |
| 1235341330 | Timmen Cermak | Psychiatry & Neurology | 239 Miller Avenue, Suite #1, Mill Valley, CA 94941 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CARLA BETH MARIENFELD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.