Organization Active NPI

Andrade Family Therapy

  • Community/Behavioral Health Agency
  • Fullerton, CA
National Provider Identifier
1396135208
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
84365 Issued in CA
Legal business name
ANDRADE FAMILY THERAPY
Practice address
305 N Harbor Blvd
Suite 215
Fullerton, CA 92832-1990
Phone
(562) 673-5733
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Mrs. Tracie Kelly Howell-Andrade, LMFT
Title
Marriage and Family Therapist
Phone
(562) 673-5733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 84365 CA Primary

Addresses

Primary practice location

305 N Harbor Blvd
Suite 215
Fullerton, CA 92832-1990

Mailing address

305 N Harbor Blvd
Suite 215
Fullerton, CA 92832-1990

National Provider Directory

National Provider Directory

Locations

305 N Harbor Blvd
Ste 215
Fullerton, CA 92832
Phone (562) 673-5733

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1396135208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N HARBOR BLVD",
            "address_2": "SUITE 215",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HARBOR BLVD",
            "address_2": "SUITE 215",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321990",
            "telephone_number": "562-673-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRADE FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "HOWELL-ANDRADE",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "562-673-5733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "84365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.