Organization Active NPI

Wonderfully Human Marriage and Family Therapy, Inc.

  • Marriage & Family Therapist
  • Apple Valley, CA
National Provider Identifier
1063274496
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WONDERFULLY HUMAN MARRIAGE AND FAMILY THERAPY, INC.
Practice address
20786 Bear Valley Rd Ste I
Apple Valley, CA 92308-6909
Phone
(805) 285-2696
NPI assigned
Jan 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Andrew Rudd
Title
Owner
Phone
(805) 285-2696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

20786 Bear Valley Rd Ste I
Apple Valley, CA 92308-6909

Mailing address

16040 Greyrock St
Victorville, CA 92395-8628
Phone (909) 560-1934

Other names 1

  • Wonderfully Human Marriage and Family Therapy, Inc. Other name

National Provider Directory

National Provider Directory

Locations

20786 Bear Valley Rd
Ste I
Apple Valley, CA 92308
Phone (619) 742-9479

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1063274496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 GREYROCK ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958628",
            "telephone_number": "909-560-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20786 BEAR VALLEY RD STE I",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923086909",
            "telephone_number": "805-285-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFULLY HUMAN MARRIAGE AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-285-2696"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderfully Human Marriage and Family Therapy, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.