Organization Active NPI

Jeremy Harvey Marriage and Family Therapist Professional Corporation

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1376005595
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JEREMY HARVEY MARRIAGE AND FAMILY THERAPIST PROFESSIONAL CORPORATION
Practice address
260 Newport Center Dr Ste 101
Newport Beach, CA 92660-7520
Phone
(949) 945-4364
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Harvey Jeremy
Title
President
Phone
(949) 945-4364

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

260 Newport Center Dr Ste 101
Newport Beach, CA 92660-7520

Mailing address

51 Via Amanti
Newport Coast, CA 92657-1124
Phone (949) 945-4364

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Contact@jeremyharveymft.com
Other URL Contact@jeremyharveymft.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250310000914 CA Part B Supplier - Clinic/Group Practice 6002337862 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

260 Newport Center Dr
Ste 203
Newport Beach, CA 92660
Phone (949) 244-6140

260 Newport Center Dr
Ste 101
Newport Beach, CA 92660
Phone (949) 650-5800

Interoperability endpoints

  • Direct secure messaging: contact@jeremyharveymft.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1376005595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 VIA AMANTI",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571124",
            "telephone_number": "949-945-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NEWPORT CENTER DR STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607520",
            "telephone_number": "949-945-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY HARVEY MARRIAGE AND FAMILY THERAPIST PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "JEREMY",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-945-4364"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Contact@jeremyharveymft.com",
            "affiliation": "N",
            "address_1": "260 Newport Center Dr Ste 101",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926607520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Contact@jeremyharveymft.com",
            "affiliation": "N",
            "address_1": "260 Newport Center Dr Ste 101",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926607520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.