Active NPI
Carol Ann Brush, PH.D.,MFT
- Marriage & Family Therapist
- Santa Ana, CA
National Provider Identifier
1194965186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 30797
- Practice address
- 1450 N Tustin Ave
Suite 222
Santa Ana, CA 92705-8640 - Phone
- (714) 972-8404
- Fax
- (714) 633-8418
- NPI assigned
- Mar 3, 2009
- 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 | MFC 30797 | CA | Primary |
Addresses
Primary practice location
1450 N Tustin Ave
Suite 222
Santa Ana, CA 92705-8640
Mailing address
1450 N Tustin Ave
Suite 222
Santa Ana, CA 92705-8640
Phone (714) 972-8404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC 30797 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 30797 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1194965186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 N TUSTIN AVE",
"address_2": "SUITE 222",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058640",
"telephone_number": "714-972-8404",
"fax_number": "714-633-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 N TUSTIN AVE",
"address_2": "SUITE 222",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058640",
"telephone_number": "714-972-8404",
"fax_number": "714-633-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSH",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.,MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 30797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "MFC 30797",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.