Judith Glickman Zevin, Psy.D., Marriage and Family Therapy, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS12553 Issued in CA

Legal business name

JUDITH GLICKMAN ZEVIN, PSY.D., MARRIAGE AND FAMILY THERAPY, INC.

Practice address

1151 Dove St
Ste 278
Newport Beach, CA 92660-2840

Phone

(949) 651-6054

NPI assigned

Jun 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Judith Glickman Zevin, LCSW, PSY.D.

Title

Director/Chief Executive Officer

Phone

(949) 651-6054

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1124348065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST",
            "address_2": "STE 278",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602840",
            "telephone_number": "949-651-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST",
            "address_2": "STE 278",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602840",
            "telephone_number": "949-651-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH GLICKMAN ZEVIN, PSY.D., MARRIAGE AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "ZEVIN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "GLICKMAN",
        "authorized_official_title_or_position": "DIRECTOR/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-651-6054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PSY.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tannaz Jourabchian, PA
• Pascal S.C. Juang, M.D.
• Alejandra Juarez Alvarez
• Ailene Andal Juarez, MPT, DPT
• Cambria Anne Judd, M.D.
• Chad Michael Julian, DPT
• Julie G. Duquette M.D. a Medical Corporation
• Julie Ralls, M.D., Inc.
• Julie Stefanski, D.C., Chiropractic Corporation
• Julio H Flores M D Inc

• Clinical Social Worker in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Social Worker in California

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