Active NPI
Talk Therapy Mental Health
- Marriage & Family Therapist
- Newport Beach, CA
National Provider Identifier
1023628211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- TALK THERAPY MENTAL HEALTH
- Practice address
- 1100 Quail St Ste 206
Newport Beach, CA 92660-2782 - Phone
- (949) 954-0165
- Fax
- (949) 861-9246
- NPI assigned
- Aug 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin Rocha
- Title
- Director
- Phone
- (949) 954-0165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1100 Quail St Ste 206
Newport Beach, CA 92660-2782
Mailing address
241 W Roosevelt Rd
Long Beach, CA 90807-3259
Phone (949) 954-0165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861678260 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1100 Quail St
Ste 206
Newport Beach, CA 92660
Phone (949) 229-0567
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Long Beach, CA
- NPI 1861678260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596412800000",
"number": "1023628211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 W ROOSEVELT RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073259",
"telephone_number": "949-954-0165",
"fax_number": "949-861-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 QUAIL ST STE 206",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602782",
"telephone_number": "949-954-0165",
"fax_number": "949-861-9246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALK THERAPY MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A",
"authorized_official_last_name": "ROCHA",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "949-954-0165",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861678260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.