Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Bay Psychotherapy Services

Organization Clinical Social Worker · NPI 1154046134

North Bay Psychotherapy Services is a Clinical Social Worker in San Diego, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

620 State St Unit 421
San Diego, CA 92101-6725
Phone: (714) 713-3890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1154046134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ann Fornes — Ceo · (714) 713-3890
NPI enumeratedOctober 11, 2022
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address620 State St Unit 421, San Diego, CA 92101-6725

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