CHILD THERAPY SAN DIEGO NPI 1477098242

NPI Information

  • NPI: 1477098242
  • Provider Name: CHILD THERAPY SAN DIEGO
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 1761 HOTEL CIR S STE 118
    SAN DIEGO, CA
    ZIP 92108
  • Phone: (858) 232-1836

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NPI Details

CHILD THERAPY SAN DIEGO 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. CHILD THERAPY SAN DIEGO NPI is 1477098242. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1761 HOTEL CIR S STE 118
SAN DIEGO, CA
ZIP 92108-318
Phone: (858) 232-1836

The provider's authorized official is Raphaella Croccia .
The authorized official title is Owner and has the following contact phone number (858) 232-1836.

The enumeration date for this NPI number is 1/3/2017 and was last updated on 1/3/2017.

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
1106H00000XMarriage & Family Therapist52988CALIFORNIAYes

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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