JODI STASZAK


Address: 2630 1st Ave, Suite 205, San Diego, CA 92103-6599
Phone: 6198180375

JODI STASZAK (NPI# 1437400207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437400207
Entity Type Individual
Full Name JODI STASZAK
Practice Address 2630 1st Ave
Suite 205
San Diego
CA 92103-6599
Practice Telephone 6198180375
Practice Fax Number 6199962226
Mailing Telephone 6198180375
Mailing Fax Number 6199962226
Enumeration Date 2012-09-20
Last Update Date 2012-09-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 52048 CA Behavioral Health & Social Service Providers

Office Location

Street Address 2630 1ST AVE
SUITE 205
City SAN DIEGO
State CA
Zip Code 92103-6599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679572911 Richard Tew General Practice 2630 1st Ave, San Diego, CA 92103-6599 2005-07-19
1215543426 Katherine Anne Perry Nurse Practitioner 2630 1st Ave, San Diego, CA 92103-6599 2020-09-22
1396358024 Stephanie Joyce Reed Nurse Practitioner 2630 1st Ave, San Diego, CA 92103-6599 2020-08-24
1912439050 San Diego American Indian Health Center Preferred Provider Organization 2630 1st Ave, San Diego, CA 92103-6599 2017-03-29
1790151660 Michelle Epstein Dentist 2630 1st Ave, San Diego, CA 92103-6599 2015-08-14
1235470519 Jenna Y Lau Dentist 2630 1st Ave, San Diego, CA 92103-6599 2013-03-11
1740534239 Porta Verum Social Worker 2630 1st Ave, Suite 205, San Diego, CA 92103-6599 2012-11-05
1710239223 Young Sun Suh Family Medicine 2630 1st Ave, San Diego, CA 92103-6599 2012-10-08
1801024393 Shaun Michael Austin Family Medicine 2630 1st Ave, San Diego, CA 92103-6599 2009-06-23
1548418619 Chelsea Richardson Dentist 2630 1st Ave, San Diego, CA 92103-6599 2008-09-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689275331 Brenda L Curtis Marriage & Family Therapist 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 2020-11-07
1154921252 Rayna Milner Marriage & Family Therapist 9308 Babauta Rd Apt 61, San Diego, CA 92129-4922 2020-10-28
1114525995 Bethany Minick Marriage & Family Therapist 940 56th St, San Diego, CA 92114-1714 2020-10-13
1477160877 Lucy Zhang Marriage & Family Therapist 6363 Beadnell Way Apt 249, San Diego, CA 92117-4164 2020-09-29
1679189161 Lucy Wallace Marriage & Family Therapist 1265 Trieste Dr, San Diego, CA 92107-3957 2020-09-20
1871107417 Giselle Romo Marriage & Family Therapist 3378 Redwood St, San Diego, CA 92104-4763 2020-09-01
1245849116 Erica Ovington Marriage & Family Therapist 995 Gateway Center Way Ste 208, San Diego, CA 92102-4544 2020-07-27
1164048955 Kristina Kalaya Clancy Marriage & Family Therapist 2333 1st Ave Ste 203, San Diego, CA 92101-1540 2020-06-17
1629692397 Tlc Family Therapy Marriage & Family Therapist 5965 Village Way. Suite 105 #112, San Diego, CA 92130 2020-05-29
1245854983 Rebecca Braunstein Marriage & Family Therapist 11342 Westonhill Dr, San Diego, CA 92126-1449 2020-05-28
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Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

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.

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