NORTH BAY PSYCHOTHERAPY SERVICES NPI 1154046134

NPI Information

  • NPI: 1154046134
  • Provider Name: NORTH BAY PSYCHOTHERAPY SERVICES
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 620 STATE ST UNIT 421
    SAN DIEGO, CA
    ZIP 92101
  • Phone: (714) 713-3890

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NPI Details

NORTH BAY PSYCHOTHERAPY SERVICES is a marriage family therapist in San Diego, CA. The provider is 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. NORTH BAY PSYCHOTHERAPY SERVICES NPI is 1154046134. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

620 STATE ST UNIT 421
SAN DIEGO, CA
ZIP 92101-725
Phone: (714) 713-3890

The provider's authorized official is Mary Ann Fornes .
The authorized official title is Ceo and has the following contact phone number (714) 713-3890.

The enumeration date for this NPI number is 10/11/2022 and was last updated on 10/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2106H00000XMarriage & Family TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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