RENOVA SAN DIEGO
NPI 1285362772
Marriage & Family Therapist in San Diego, CA

Q: What is Renova San Diego's NPI number?

The NPI number for Renova San Diego is 1285362772. It was assigned to this organization in the NPPES registry on August 11, 2022. The provider was formerly known as Dr Ben Inouye And Dr Lisa J Palmer Foundation For Family.

Q: What is Renova San Diego's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Renova San Diego was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 11, 2022

12396 WORLD TRADE DR STE 109, SAN DIEGO, CA 92128(619) 895-0509 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Renova San Diego NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENOVA SAN DIEGO (NPI 1285362772), doing business as Dr Ben Inouye And Dr Lisa J Palmer Foundation For Family, is a healthcare organization registered as a marriage & family therapist in San Diego, California and active in the NPI registry since August 2022. The organization lists Heather Pederson, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1285362772

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameRENOVA SAN DIEGO

Location Address12396 WORLD TRADE DR STE 109San Diego, CA 92128-3787

Mailing Address12396 World Trade Dr Ste 109San Diego, CA 92128-3787

Phone(619) 895-0509

Organization SubpartNo

Authorized OfficialHeather PedersonClinical Director · (858) 522-0179

Enumeration DateAugust 11, 2022

NPPES CertifiedAugust 11, 2022

✔ NPI 1285362772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

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.

12396 WORLD TRADE DR STE 109, San Diego, CA 92128

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Other Names 1

Former Legal Business NameDr Ben Inouye And Dr Lisa J Palmer Foundation For Family

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCNARY THERAPY, A MARRIAGE & FAMILY PRACTICE, PC

Marriage & Family Therapist