MS. JESSICA DAVANZO MFT, M.ED
NPI 1316142805
Marriage & Family Therapist in San Diego, CA

Q: What is Jessica Davanzo's NPI number?

The NPI number for Jessica Davanzo is 1316142805. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Q: What is Jessica Davanzo'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 Jessica Davanzo was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 15, 2007

11770 BERNARDO PLAZA CT STE 370, SAN DIEGO, CA 92128(858) 673-3360(619) 528-4625 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2018, Aug 29, 2018 (2 updates tracked since 2018).

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About Ms. Jessica Davanzo Mft, M.ed NPPES

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

MS. JESSICA DAVANZO MFT, M.ED (NPI 1316142805) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1316142805

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. JESSICA DAVANZOCredential: MFT, M.ED

Location Address11770 BERNARDO PLAZA CT STE 370San Diego, CA 92128-2426

Mailing AddressPo Box 609001San Diego, CA 92160-9001 · (619) 528-4600 · Fax (619) 528-4625

Phone(858) 673-3360

Fax(619) 528-4625

Sole ProprietorYes

Enumeration DateJune 15, 2007

Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration

✔ NPI 1316142805 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.

11770 BERNARDO PLAZA CT STE 370, San Diego, CA 92128

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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.

MRS. HEATHER TIFFANY DOUGHERTY MSN RN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)