Rene Lewellyn Marriage and Family Therapist Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

RENE LEWELLYN MARRIAGE AND FAMILY THERAPIST INC.

Practice address

1210 Central Blvd
Suite 122
Brentwood, CA 94513-2242

Phone

(925) 634-3821

Fax

(925) 634-3821

NPI assigned

Aug 16, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Rene Lewellyn, MFTNPI 1003962564

Title

President

Phone

(925) 634-3821

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Lewellyn, M.A, MFT

  • Marriage & Family Therapist
  • Laguna Beach, CA
  • NPI 1003962564
  NPD (past) Authorized official

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1013340710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 CENTRAL BLVD",
            "address_2": "SUITE 122",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132242",
            "telephone_number": "925-634-3821",
            "fax_number": "925-634-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 CENTRAL BLVD",
            "address_2": "SUITE 122",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132242",
            "telephone_number": "925-634-3821",
            "fax_number": "925-634-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE LEWELLYN MARRIAGE AND FAMILY THERAPIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "LEWELLYN",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-634-3821",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.