Philip Arthur Medlyn II

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT111454 Issued in CA

Practice address

1791 W Acacia Ave
Hemet, CA 92545-3797

Phone

(951) 765-6300

NPI assigned

Apr 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Institute for Family Centered Services, Inc.

  • Community/Behavioral Health Agency
  • San Jacinto, CA
  • NPI 1922560879
  NPD (past)

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1437416997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 WILLOWCREEK CT",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925458901",
            "telephone_number": "951-708-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 W ACACIA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453797",
            "telephone_number": "951-765-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLYN",
        "first_name": "PHILIP",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT111454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Support Los Angeles a Medical Corporation
• Medical Zone Concierge Inc
• Alfredo Medina
• Estefania Medina
• Kaitlyn Medina
• Cecilia M Meester
• Van Mego
• Amal Chandrakant Mehta, M.D.
• Chandrakant V Mehta, M.D.
• Sanjay Pravin Mehta, PHARMD

• Marriage & Family Therapist in Hemet, CA
• Providers in Hemet, 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 May 12, 2025; 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.