Organization Active NPI

Looking Glass Therapy Solutions

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1356113120
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LOOKING GLASS THERAPY SOLUTIONS
Practice address
14841 Yorba St Ste 209
Tustin, CA 92780-2946
Phone
(619) 815-4484
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Dr. Brandon M. McQueen, LMFT
Title
Psychological Director
Phone
(619) 245-3709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

14841 Yorba St Ste 209
Tustin, CA 92780-2946

Mailing address

14841 Yorba St Ste 209
Tustin, CA 92780-2946
Phone (619) 245-3709

National Provider Directory

National Provider Directory

Locations

921 N Milliken Ave
#1190
Ontario, CA 91764

14841 Yorba St
Ste 209
Tustin, CA 92780
Phone (619) 815-4484

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1356113120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14841 YORBA ST STE 209",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802946",
            "telephone_number": "619-245-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14841 YORBA ST STE 209",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802946",
            "telephone_number": "619-815-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKING GLASS THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCHOLOGICAL DIRECTOR",
        "authorized_official_telephone_number": "619-245-3709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.