Individual provider Active NPI

Cinnamon Howard Cornwell, MFT

  • Marriage & Family Therapist
  • Hermosa Beach, CA
National Provider Identifier
1124343538
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47537 Issued in CA
Practice address
2200 Pacific Coast Hwy
Suite 304-a
Hermosa Beach, CA 90254-2757
Phone
(310) 770-5775
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 47537 CA Primary

Addresses

Primary practice location

2200 Pacific Coast Hwy
Suite 304-a
Hermosa Beach, CA 90254-2757

Mailing address

2200 Pacific Coast Hwy
Suite 304-a
Hermosa Beach, CA 90254-2757
Phone (310) 770-5775

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

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1124343538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY",
            "address_2": "SUITE 304-A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542757",
            "telephone_number": "310-770-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY",
            "address_2": "SUITE 304-A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542757",
            "telephone_number": "310-770-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD CORNWELL",
        "first_name": "CINNAMON",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.