RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY SAN DIEGO (NPI# 1962508481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962508481 |
| Entity Type | Organization |
| Organization Name | RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY SAN DIEGO |
| Practice Address |
3665 Kearny Villa Rd 165 San Diego CA 92123-1953 |
| Mailing Address |
1465 C St #3305 San Diego CA 92101-5738 |
| Practice Telephone | 6197585993 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MERAV SEGALL (SOCIAL WORKER I) |
| Authorized Official Telephone | 6197585993 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF 47771 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3665 KEARNY VILLA RD 165 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851952907 | Allison Rawls | Student in an Organized Health Care Education/Training Program | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2019-06-27 |
| 1578044012 | Neilson Chan | Student in an Organized Health Care Education/Training Program | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2018-08-23 |
| 1063907038 | Page Naomi Beukelman | Audiologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2018-06-22 |
| 1982119293 | Yesenia C Mejia | Psychologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2017-12-08 |
| 1104335835 | Stephanie Keffer | Speech-Language Pathologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2017-09-26 |
| 1740728179 | Natasha Proa | Case Manager/Care Coordinator | 3665 Kearny Villa Rd, Suite 165, San Diego, CA 92123-1953 | 2017-02-06 |
| 1194268425 | Kimberlee Ramirez | Speech-Language Pathologist | 3665 Kearny Villa Rd, Suite 300, San Diego, CA 92123-1953 | 2016-11-17 |
| 1073989380 | Brielle Williams | Speech-Language Pathologist | 3665 Kearny Villa Rd, Suite 300, San Diego, CA 92123 | 2015-08-20 |
| 1871969436 | Tara Jobin | Audiologist | 3665 Kearny Villa Rd, San Diego, CA 92123-1953 | 2015-08-18 |
| 1134502834 | Kristen Eberly | Counselor | 3665 Kearny Villa Rd, Suite 501, San Diego, CA 92123 | 2015-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| 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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| 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.