Amy Amornrat Chua, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC41678 Issued in CA

Practice address

27322 Calle Arroyo
Suite B
San Juan Capistrano, CA 92675-6760

Phone

(949) 493-7333

Fax

(949) 489-9064

NPI assigned

Nov 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1366697880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27322 CALLE ARROYO",
            "address_2": "SUITE B",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756760",
            "telephone_number": "949-493-7333",
            "fax_number": "949-489-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27322 CALLE ARROYO",
            "address_2": "SUITE B",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756760",
            "telephone_number": "949-493-7333",
            "fax_number": "949-489-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "AMY",
        "middle_name": "AMORNRAT",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC41678",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyung Sup Jeff Choi, PH.D.
• Rebecca Chou, DACM
• Christine a Fortmann DDS Inc
• Virginia Yvonne Christy
• Connie H. Chu, O.D.
• Anna Seung-Eun Chung, DDS
• Julie Diane Chutuk, PPS
• Heather Cindric, M.D.
• Hilary Cisco Reuter, PH.D.
• Ian James Clark, CMT

• Marriage & Family Therapist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.