MS. MARY WHITE (NPI# 1497860829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497860829 |
| Entity Type | Individual |
| Full Name | MS. MARY WHITE |
| Credential | LMFT |
| Practice Address |
4445 Eastgate Mall Ste 200 San Diego CA 92121-1979 |
| Mailing Address |
4445 Eastgate Mall Ste 200 San Diego CA 92142-0398 |
| Practice Telephone | 8582547243 |
| Mailing Telephone | 8582547243 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-03-17 |
| NPI Deactivation Date | 07/01/2013 |
| NPI Reactivation Date | 2017-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 95171 | CA | Behavioral Health & Social Service Providers |
| N | 171W00000X | Contractor | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11622 El Camino Real, San Diego, CA 921420398 | 8582301396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912568197 | Mary Elizabeth White | Registered Nurse | 31 Hillsborough Dr E, Montgomery, TX 77356-8224 | 2019-06-27 |
| 1649633488 | Mary White | Specialist | 2957 Poplar Dr, Moore, OK 73160-3230 | 2016-03-30 |
| 1649643354 | Mary E White | Social Worker | 1505 Westwood Ave, Lakewood, OH 44107-3703 | 2015-11-03 |
| 1316327026 | Mary White | Nurse Practitioner | 2323 Polk St Apt 307, Houston, TX 77003-4407 | 2015-06-08 |
| 1144614876 | Mary White | Registered Nurse | 3000 Citrus Cir Ste 101, Walnut Creek, CA 94598-2625 | 2015-03-19 |
| 1477973477 | Mary Diane Basler White | Case Manager/Care Coordinator | 1626 E. Las Cruces Ave., Las Cruces, NM 88001 | 2014-04-17 |
| 1326395062 | Mary S White | Speech-Language Pathologist | 13404 Gaylord St, Thornton, CO 80241-1383 | 2012-08-13 |
| 1427321629 | Mary Kay White | Home Health Aide | 1013 Amherst Dr, Marion, OH 43302-6903 | 2012-02-17 |
| 1548537053 | Mary L White | Speech-Language Pathologist | 651 West Pacific Ave., #309, Telluride, CO 81435-1225 | 2011-11-29 |
| 1427351634 | Mary Ann White | Social Worker | 3750 N Jog Rd # 3206, West Palm Beach, FL 33411-7451 | 2010-12-09 |
| Street Address |
4445 EASTGATE MALL STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795150 | Dynamis Aba International | Behavioral Analyst | 4445 Eastgate Mall Ste 200, San Diego, CA 92121-1979 | 2019-11-19 |
| 1588173629 | Barbara Carra | Acupuncturist | 4445 Eastgate Mall Ste 200, San Diego, CA 92121 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| 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 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on MS. MARY WHITE.
| 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.