Individual provider Active NPI

Michael William Casey, M.F.T.

  • Marriage & Family Therapist
  • Torrance, CA
National Provider Identifier
1295760957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC22802 Issued in CA
Practice address
3565 Del Amo Blvd
Torrance, CA 90503-1637
Phone
(310) 214-0811
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC22802 CA Primary

Addresses

Primary practice location

3565 Del Amo Blvd
Torrance, CA 90503-1637

Mailing address

500 Havana Ave
Long Beach, CA 90814-1929
Phone (562) 494-4115

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231214002642 CA Practitioner - Marriage and Family Therapist 5092164186 Reassigns benefits to 1 organization
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22802CAMDClinical Social Worker
MFC22802CAMDMarriage & Family Therapist

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Eugene Rosenman MD Professional Corporation CurrentSince Jan 1, 2024 Accepting new patients

Locations

2401 E Katella Ave
Ste 625
Anaheim, CA 92806
Phone (800) 570-4701

3321 N Buffalo Dr
Ste 225
Las Vegas, NV 89129
Phone (702) 816-0226

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295760957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HAVANA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141929",
            "telephone_number": "562-494-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031637",
            "telephone_number": "310-214-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "M.F.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC22802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.