Individual provider Active NPI

Maureen E Ambs, MFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1245364603
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC46216 Issued in CA
Practice address
610 Santa Monica Blvd
Suite 205
Santa Monica, CA 90401-1632
Phone
(310) 382-4022
NPI assigned
Mar 15, 2007
Last updated
Jul 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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 MFC46216 CA Primary

Addresses

Primary practice location

610 Santa Monica Blvd
Suite 205
Santa Monica, CA 90401-1632

Mailing address

2909 2ND St Apt 2
Santa Monica, CA 90405-5424
Phone (310) 382-4022

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

State licenses

LicenseStateTypeSpecialty
MFC46216CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1245364603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 2ND ST APT 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055424",
            "telephone_number": "310-382-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SANTA MONICA BLVD",
            "address_2": "SUITE 205",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011632",
            "telephone_number": "310-382-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBS",
        "first_name": "MAUREEN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.