Organization Active NPI

Marcie Beasley Pham LMFT, a Marriage and Family Therapy Professional

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1235769035
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MARCIE BEASLEY PHAM LMFT, A MARRIAGE AND FAMILY THERAPY PROFESSIONAL
Practice address
1001 Dove St Ste 105
Newport Beach, CA 92660-2838
Phone
(949) 877-4872
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Marcie Beasley Pham, MA, LMFTNPI 1497817316
Title
President
Phone
(949) 877-4872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1001 Dove St Ste 105
Newport Beach, CA 92660-2838

Mailing address

1001 Dove St Ste 105
Newport Beach, CA 92660-2838
Phone (949) 877-4872

Other identifiers 1

IdentifierTypeStateIssuer
47715OtherCABBS

National Provider Directory

National Provider Directory

Locations

1001 Dove St
Ste 105
Newport Beach, CA 92660
Phone (949) 877-4872

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1235769035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 105",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602838",
            "telephone_number": "949-877-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 105",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602838",
            "telephone_number": "949-877-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIE BEASLEY PHAM LMFT, A MARRIAGE AND FAMILY THERAPY PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "BEASLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-877-4872",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "47715",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.