Individual provider Active NPI

John Carl Vandixhorn, PH. D.

  • Marriage & Family Therapist
  • Palm Springs, CA
National Provider Identifier
1003082504
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 19212 Issued in CA
Practice address
225 S Civic Dr
Suite 217
Palm Springs, CA 92262-7226
Phone
(760) 320-6648
Fax
(760) 770-5652
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 19212 CA Primary

Addresses

Primary practice location

225 S Civic Dr
Suite 217
Palm Springs, CA 92262-7226

Mailing address

4760 N Winners Cir Apt B
Palm Springs, CA 92264-5867
Phone (760) 320-6648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT 19212CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1003082504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 N WINNERS CIR APT B",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922645867",
            "telephone_number": "760-320-6648",
            "fax_number": "760-770-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CIVIC DR",
            "address_2": "SUITE 217",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627226",
            "telephone_number": "760-320-6648",
            "fax_number": "760-770-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIXHORN",
        "first_name": "JOHN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 19212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.