Innovative Therapy 4 Kids Inc is a
Psychologist - Clinical based in Carlsbad, California. Innovative Therapy 4 Kids Inc is licensed to practice in California (license number SP9589) and their current practice location is
2333 State St, Suite 201, Carlsbad, California. It can be reached at their office (for appointments etc.) via phone at
(760) 434-3912.
NPI number for Innovative Therapy 4 Kids Inc is 1760579015 and their current mailing address is 2333 State St, Suite 201, Carlsbad, California. Innovative Therapy 4 Kids Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1760579015.
Healthcare Provider's Profile
| Full Name | Innovative Therapy 4 Kids Inc |
|---|
| Type | Facility |
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| Speciality | Psychologist - Clinical |
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| Location | 2333 State St, Carlsbad, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760579015
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Innovative Therapy 4 Kids Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760579015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | SP9589 (California) | Primary |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | SP9589 (California) | Primary |
| 235Z00000X | Speech-language Pathologist | SP9589 (California) | Primary |
| 103T00000X | Psychologist | SP9589 (California) | Primary |
| 103TC0700X | Psychologist - Clinical | SP9589 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Innovative Therapy 4 Kids Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Innovative Therapy 4 Kids Inc
2333 State St, Suite 201,
Carlsbad, CA 92008-1691
Ph: (760) 434-3912 | Innovative Therapy 4 Kids Inc
2333 State St, Suite 201,
Carlsbad, CA 92008-1691
Ph: (760) 434-3912 |
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