Individual provider Active NPI

Mark Thomas Cady, M.S., MFT

  • Marriage & Family Therapist
  • Newbury Park, CA
National Provider Identifier
1295972354
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
581 Issued in HI
Practice address
3537 Old Conejo Rd
Suite 113
Newbury Park, CA 91320-2157
Phone
(805) 499-8511
Fax
(805) 499-1622
NPI assigned
Jan 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 46708 CA
Marriage & Family Therapist 106H00000X 581 HI Primary

Addresses

Primary practice location

3537 Old Conejo Rd
Suite 113
Newbury Park, CA 91320-2157

Mailing address

1215 S. Kihei Rd.
Suite O #126
Kihei, HI 96753
Phone (805) 630-5135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 27, 2025 through Jan 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
46708CAMDMarriage & Family Therapist
581HIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1295972354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S. KIHEI RD.",
            "address_2": "SUITE O #126",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "96753",
            "telephone_number": "805-630-5135",
            "fax_number": "808-214-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 OLD CONEJO RD",
            "address_2": "SUITE 113",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202157",
            "telephone_number": "805-499-8511",
            "fax_number": "805-499-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADY",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "credential": "M.S., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46708",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

Verify at the official NPI Registry.