Individual provider Active NPI

Seong-Hye Mau

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1235784455
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1442 Irvine Blvd Ste 221
Tustin, CA 92780-3846
Phone
(714) 202-7773
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 Primary

Addresses

Primary practice location

1442 Irvine Blvd Ste 221
Tustin, CA 92780-3846

Mailing address

1442 Irvine Blvd Ste 221
Tustin, CA 92780-3846
Phone (714) 202-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 18, 2024 through Apr 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
133307CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straight Talk Clinic, Inc. PastSince Jan 19, 2020 Accepting new patients
Straight Talk Clinic, Inc. PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1235784455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD STE 221",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803846",
            "telephone_number": "714-202-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD STE 221",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803846",
            "telephone_number": "714-202-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAU",
        "first_name": "SEONG-HYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.