Active NPI
Dorothea Jeannette Vanleeuwen, MA LMFT
- Marriage & Family Therapist
- Corona, CA
National Provider Identifier
1184657934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC21951
- Practice address
- 1128 E 6TH St
Suite 7
Corona, CA 92879-5706 - Phone
- (951) 847-7742
- Fax
- (951) 734-8518
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC21951 | CA | Primary |
Addresses
Primary practice location
1128 E 6TH St
Suite 7
Corona, CA 92879-5706
Mailing address
1128 E 6TH St
Suite 7
Corona, CA 92879-5706
Phone (951) 847-7742
Other names 1
- Doreen J Vandonk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 9, 2024 through Feb 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21951 | CA | MD | Clinical Psychologist |
| MFC21951 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1184657934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 E 6TH ST",
"address_2": "SUITE 7",
"city": "CORONA",
"state": "CA",
"postal_code": "928795706",
"telephone_number": "951-847-7742",
"fax_number": "951-734-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 E 6TH ST",
"address_2": "SUITE 7",
"city": "CORONA",
"state": "CA",
"postal_code": "928795706",
"telephone_number": "951-847-7742",
"fax_number": "951-734-8518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANLEEUWEN",
"first_name": "DOROTHEA",
"middle_name": "JEANNETTE",
"credential": "MA LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC21951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOREEN",
"last_name": "VANDONK",
"middle_name": "J",
"credential": "MA LMFT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.