Active NPI
Virginia Susan McCann, MCFT
- Marriage & Family Therapist
- Yucca Valley, CA
National Provider Identifier
1346639002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC25365
- Practice address
- 58945 Business Cernter Drive
Suite D
Yucca Valley, CA 92284 - Phone
- (760) 228-9657
- Fax
- (760) 369-9473
- NPI assigned
- Jan 20, 2015
- 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 | MFC25365 | CA | Primary |
Addresses
Primary practice location
58945 Business Cernter Drive
Suite D
Yucca Valley, CA 92284
Mailing address
58945 Business Cernter Drive
Suite D
Yucca Valley, CA 92284
Phone (760) 228-9657
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 |
|---|---|---|---|
| MFC25365 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1346639002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58945 BUSINESS CERNTER DRIVE",
"address_2": "SUITE D",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "92284",
"telephone_number": "760-228-9657",
"fax_number": "760-369-9473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58945 BUSINESS CERNTER DRIVE",
"address_2": "SUITE D",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "92284",
"telephone_number": "760-228-9657",
"fax_number": "760-369-9473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "VIRGINIA",
"middle_name": "SUSAN",
"credential": "MCFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC25365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.