Mary Kathryn Vanvalkenburgh, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

15701 Issued in CA

Practice address

4182 N Viking Way
#205
Long Beach, CA 90808-1491

Phone

(562) 338-8167

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1275648958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 N VIKING WAY",
            "address_2": "205",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081491",
            "telephone_number": "562-338-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4182 N VIKING WAY",
            "address_2": "#205",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081491",
            "telephone_number": "562-338-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVALKENBURGH",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "15701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artit George Vanichsombat, M.D.
• Gregory T Vanley, M.D.
• Sireyrath Vann
• Vannarith So MD a Professional Corporation
• Kristin Vansteemburg
• Mary Elizabeth Vanvooren, DPM
• Vaprnet Anesthesiology Network
• Giovani Enrique Vaquerano, BCBA
• Kaylyn Vaquez
• Joseph Famil Vardayo, MD FACS

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.