Active NPI
Maureen A Roudine, LMFT
- Marriage & Family Therapist
- Irvine, CA
National Provider Identifier
1053515775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC36322
- Practice address
- 19742 Macarthur Blvd
Suite 125
Irvine, CA 92612 - Phone
- (949) 466-4024
- Fax
- (949) 955-0163
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 | MFC36322 | CA | Primary |
Addresses
Primary practice location
19742 Macarthur Blvd
Suite 125
Irvine, CA 92612
Mailing address
19742 Macarthur Blvd
Suite 125
Irvine, CA 92612
Phone (949) 466-4024
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC36322 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiron Psychological, Inc | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053515775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19742 MACARTHUR BLVD",
"address_2": "SUITE 125",
"city": "IRVINE",
"state": "CA",
"postal_code": "92612",
"telephone_number": "949-466-4024",
"fax_number": "949-955-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19742 MACARTHUR BLVD",
"address_2": "SUITE 125",
"city": "IRVINE",
"state": "CA",
"postal_code": "92612",
"telephone_number": "949-466-4024",
"fax_number": "949-955-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUDINE",
"first_name": "MAUREEN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC36322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.