Denise C Fanelli, MA, ATR, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC23409 Issued in CA

Practice address

3020 Old Ranch Parkway
Suite 100
Seal Beach, CA 90740

Phone

(714) 394-7266

Fax

(562) 596-6024

NPI assigned

Sep 30, 2009

Last updated

Jul 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1114251626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 OLD RANCH PARKWAY",
            "address_2": "SUITE 100",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "90740",
            "telephone_number": "714-394-7266",
            "fax_number": "562-596-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 OLD RANCH PARKWAY",
            "address_2": "SUITE 100",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "90740",
            "telephone_number": "714-394-7266",
            "fax_number": "562-596-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANELLI",
        "first_name": "DENISE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MA, ATR, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MY23409",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC23409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miwa Tsuji Emi, MSW
• Espi Physical Therapy, Inc.
• George Raymond Espinoza
• Farnoush Fadavi, D.M.D.
• Michael H Fanarof, O.D.
• Robin Faustino Jr., PT, DPT
• Julia Ferguson
• Pascal Ferzli, M.D.
• Dylan Firsick, PH.D.
• Rebecca Ann Fisher, DPT

• Marriage & Family Therapist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.