Organization Active NPI

Marriage & Family Therapy Services, Inc.

  • Adult Mental Health Clinic/Center
  • Claremont, CA
National Provider Identifier
1083006944
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MARRIAGE & FAMILY THERAPY SERVICES, INC.
Practice address
428 Harrison Ave
Suite 101
Claremont, CA 91711-4605
Phone
(909) 994-1436
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Tamson Overholtzer, MFTNPI 1619373255
Title
Executive Director
Phone
(909) 624-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

428 Harrison Ave
Suite 101
Claremont, CA 91711-4605

Mailing address

428 Harrison Ave
Suite 101
Claremont, CA 91711-4605
Phone (909) 994-1436

Other names 1

  • Bright Road Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bright Road Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

428 Harrison Ave
Ste 101
Claremont, CA 91711
Phone (909) 624-7070

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": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1083006944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 HARRISON AVE",
            "address_2": "SUITE 101",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114605",
            "telephone_number": "909-994-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 HARRISON AVE",
            "address_2": "SUITE 101",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114605",
            "telephone_number": "909-994-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE & FAMILY THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "OVERHOLTZER",
        "authorized_official_first_name": "TAMSON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-624-7070",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Road Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright Road Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.