Active NPI
Mariam Ann Paul, MFT
- Marriage & Family Therapist
- Santa Ana, CA
National Provider Identifier
1245567858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG15544
- Practice address
- 1207 E Fruit St
Santa Ana, CA 92701-4206 - Phone
- (714) 953-9373
- Fax
- (714) 953-7573
- NPI assigned
- Nov 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 | MG15544 | CA | Primary |
Addresses
Primary practice location
1207 E Fruit St
Santa Ana, CA 92701-4206
Mailing address
17261 Gothard St SPC 61
Huntington Beach, CA 92647-5465
Phone (949) 735-7171
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
| License | State | Type | Specialty |
|---|---|---|---|
| MG15544 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1245567858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17261 GOTHARD ST SPC 61",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926475465",
"telephone_number": "949-735-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 E FRUIT ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014206",
"telephone_number": "714-953-9373",
"fax_number": "714-953-7573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "MARIAM",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MG15544",
"primary": true
}
],
"identifiers": [],
"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 Nov 3, 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.