PATRICK ETHAN RIDGE
NPI 1306323381
Marriage & Family Therapist in Campo, CA

Q: What is Patrick Ridge's NPI number?

The NPI number for Patrick Ridge is 1306323381. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Q: What is Patrick Ridge'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 Patrick Ridge was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 23, 2018

1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906(619) 478-5696(619) 478-2404 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2023, Mar 7, 2019, Jul 23, 2018 (3 updates tracked since 2018).

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About Patrick Ethan Ridge NPPES

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

PATRICK ETHAN RIDGE (NPI 1306323381) is an individual marriage & family therapist in Campo, California, licensed in California (140069) and active in the NPI registry since July 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306323381

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NamePATRICK ETHAN RIDGE

Location Address1777 BUCKMAN SPRINGS RDCampo, CA 91906-2022

Mailing Address1777 Buckman Springs RdCampo, CA 91906-2022 · (619) 478-5696 · Fax (619) 478-2404

Phone(619) 478-5696

Fax(619) 478-2404

Sole ProprietorNo

Enumeration DateJuly 23, 2018

Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1306323381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 140069

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1777 BUCKMAN SPRINGS RD, Campo, CA 91906

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Secondary Practice Locations 2

Location 11950 Market StRiverside, CA 92501-1720 · Phone (951) 530-5900

Location 2790 E Bonita AvePomona, CA 91767-1906 · Phone (909) 625-7207 ext. 3440

Other Providers at the Same Location NPPES 20

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

OMAR HERNANDEZ RADT

Counselor (Addiction (Substance Use Disorder))