Active NPI
Patricia Bennett, M.S., MFT
- Marriage & Family Therapist
- Rancho Santa Margarita, CA
National Provider Identifier
1013464767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 21190
- Practice address
- 30211 Avenida de Las Bandera
Rancho Santa Margarita, CA 92688-2147 - Phone
- (949) 903-4120
- NPI assigned
- Sep 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 21190 | CA | Primary |
Addresses
Primary practice location
30211 Avenida de Las Bandera
Rancho Santa Margarita, CA 92688-2147
Mailing address
30211 Avenida de Las Banderas
Rancho Santa Margarita, CA 92688
Phone (949) 903-4120
Other names 1
- Patricia Brooks Bennett
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21190 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013464767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30211 AVENIDA DE LAS BANDERAS",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "92688",
"telephone_number": "949-903-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30211 AVENIDA DE LAS BANDERA",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882147",
"telephone_number": "949-903-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "PATRICIA",
"credential": "M.S., MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "21190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "BENNETT",
"middle_name": "BROOKS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.