Active NPI
Debbie Lynn Miranda-Bristol, LMFT
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1437240918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT 22036
- Practice address
- 680 Langsdorf Dr Ste 219
Fullerton, CA 92831 - Phone
- (714) 543-6720
- Fax
- (714) 519-3849
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT 22036 | CA | Primary |
Addresses
Primary practice location
680 Langsdorf Dr Ste 219
Fullerton, CA 92831
Mailing address
900 Melody LN
Fullerton, CA 92831-1956
Phone (714) 543-6720
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 22036 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1437240918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MELODY LN",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311956",
"telephone_number": "714-543-6720",
"fax_number": "714-519-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 LANGSDORF DR STE 219",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92831",
"telephone_number": "714-543-6720",
"fax_number": "714-519-3849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA-BRISTOL",
"first_name": "DEBBIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT 22036",
"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 Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.