Mending Within Family Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MENDING WITHIN FAMILY THERAPY, INC.

Practice address

14751 Plaza Dr Ste C
Tustin, CA 92780-2773

Phone

(949) 284-1991

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan R Keller, LMFTNPI 1639476807

Title

Owner

Phone

(949) 648-3698

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Renee Keller, LMFT

  • Marriage & Family Therapist
  • Tustin, CA
  • NPI 1639476807
  NPD Authorized official

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1386419257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13041 BRITTANY WOODS DR STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803909",
            "telephone_number": "949-648-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14751 PLAZA DR STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802773",
            "telephone_number": "949-284-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING WITHIN FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-648-3698",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Research Medical Clinic
• Ethan Noah Menard, MA IN MFT
• Annette Menchaca, LCSW
• Madeleine Serafina Mendez
• Nicole Mendez
• Alondra C Mendoza
• Audrey Mendoza
• John Meneses
• Vivian Meng
• Moothedath A Menon, M.D.

• Marriage & Family Therapist in Tustin, CA
• Providers in Tustin, 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 20, 2023; 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.