Mbbennett Psychotherapy, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MBBENNETT PSYCHOTHERAPY, INC

Practice address

1509 N Highland Ave
Fullerton, CA 92835-3733

Phone

(727) 365-7762

NPI assigned

Nov 3, 2026

Last updated

Nov 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melanie Bennett

Title

Owner

Phone

(727) 365-7762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793664000000",
    "number": "1053210492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5072",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928380072",
            "telephone_number": "727-365-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N HIGHLAND AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353733",
            "telephone_number": "727-365-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBBENNETT PSYCHOTHERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-365-7762"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.