MALLORY SERBIN (NPI# 1750726105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750726105 |
| Entity Type | Individual |
| Full Name | MALLORY SERBIN |
| Credential | IMF |
| Practice Address |
4452 Park Blvd Suite 302 San Diego CA 92116-4051 |
| Mailing Address |
1133 27th St Unit 10 San Diego CA 92102-7015 |
| Practice Telephone | 6504835633 |
| Mailing Telephone | 6504835633 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2015-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 85706 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF 68929 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4452 PARK BLVD SUITE 302 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92116-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578599031 | Pollyanna V Casmar | Psychologist | 4452 Park Blvd, Suite 310, San Diego, CA 92116-4051 | 2006-06-24 |
| 1861038846 | Thomas D Jones | Psychologist | 4452 Park Blvd, San Diego, CA 92116-4051 | 2019-11-25 |
| 1578956199 | William Latta | Marriage & Family Therapist | 4452 Park Blvd, Suite 304, San Diego, CA 92116-4051 | 2015-03-05 |
| 1780825075 | Matthew Jacob Bruhin | Counselor | 4452 Park Blvd, Suite 214, San Diego, CA 92116-4051 | 2009-03-16 |
| 1033316468 | Diane K. Pendragon | Psychologist | 4452 Park Blvd, Suite 101, San Diego, CA 92116-4051 | 2007-06-29 |
| 1285752634 | Elizabeth Woodrow Prather | Psychologist | 4452 Park Blvd, San Diego, CA 92116-4051 | 2007-03-26 |
| 1992832109 | Paul Standal | Psychologist | 4452 Park Blvd, 212, San Diego, CA 92116-4051 | 2007-02-27 |
| 1356481956 | Cathy Sue Reto | Psychologist | 4452 Park Blvd, Suite 309, San Diego, CA 92116-4051 | 2007-02-06 |
| 1396800769 | Maria Cecilia Ahrens | Social Worker | 4452 Park Blvd, Suite 204, San Diego, CA 92116-4051 | 2006-12-26 |
| 1407865678 | Nancy E. Williford | Social Worker | 4452 Park Blvd, Suite 205, San Diego, CA 92116-4051 | 2006-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255859450 | Michael S Cohen | Acupuncturist | 1533 Monroe Ave, San Diego, CA 92116 | 2017-09-07 |
| 1013456052 | Scarlett O'hara | Speech-Language Pathologist | 4204a Adams Avenue, San Diego, CA 92116 | 2017-02-22 |
| 1780123174 | Elaine Oxina | Occupational Therapist | 4204 Adams Avenue A, Specialized Therapy Services, San Diego, CA 92116 | 2017-02-17 |
| 1699157321 | Candice Dumais | Occupational Therapist | 4522 1/2 Georgia St, San Diego, CA 92116 | 2015-06-18 |
| 1558643908 | Markus Steven Hill | Student in an Organized Health Care Education/Training Program | 4489 41st St, San Diego, CA 92116 | 2011-09-12 |
| 1457689309 | Nirit Shoshana Blocker | Physical Therapist | 4663 Iowa St Unit 5, San Diego, CA 92116 | 2009-12-03 |
| 1780830257 | Latrice Charlene Washington | Counselor | 3430 School St, San Diego, CA 92116 | 2008-08-15 |
| 1497901086 | Kathryn Eris Zangaro | Counselor | 3430 School St., San Diego, CA 92116 | 2008-08-14 |
| 1508012535 | Cyrus Satoafaiga | Counselor | 3430 School Street, San Diego, CA 92116 | 2008-08-11 |
| 1164692471 | Kimberly Hoover L.ac. | Acupuncturist | 2852 Adams Avenue, San Diego, CA 92116 | 2008-03-04 |
| Find all providers in zip 92116 | ||||
| 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.