Organization Active NPI

Talk Therapy Mental Health

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1023628211
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Aug 3, 2020

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1861678260MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.