Individual provider Active NPI

Andre Pierrette Duchesneau, MFT, PH.D

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1356376271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 28378 Issued in CA
Practice address
420 S Beverly Dr
Suite 100
Beverly Hills, CA 90212-4426
Phone
(310) 284-4881
Fax
(310) 556-1402
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

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 MFT 28378 CA Primary

Addresses

Primary practice location

420 S Beverly Dr
Suite 100
Beverly Hills, CA 90212-4426

Mailing address

138 N Hamilton Dr
#9
Beverly Hills, CA 90211-2232
Phone (323) 651-5834

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT 28378CAMDMarriage & Family Therapist

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": "1356376271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N HAMILTON DR",
            "address_2": "#9",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112232",
            "telephone_number": "323-651-5834",
            "fax_number": "310-556-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S BEVERLY DR",
            "address_2": "SUITE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124426",
            "telephone_number": "310-284-4881",
            "fax_number": "310-556-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHESNEAU",
        "first_name": "ANDRE",
        "middle_name": "PIERRETTE",
        "name_prefix": "Dr.",
        "credential": "MFT, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT  28378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.