Ella Davies Individual & Family Therapy, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ELLA DAVIES INDIVIDUAL & FAMILY THERAPY, INC

Practice address

17752 Sky Park Cir Ste 245
Irvine, CA 92614-4478

Phone

(949) 667-0854

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Penelope Ruth Perrigo Davies, LMFTNPI 1720541725

Title

Owner

Phone

(949) 667-0854

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TBH Therapy Doing business as

Practitioners 1

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

• Penelope Ruth Perrigo Davies, LMFT

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1720541725
  NPD Authorized official

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1437979424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17752 SKY PARK CIR STE 245",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144478",
            "telephone_number": "949-667-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17752 SKY PARK CIR STE 245",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144478",
            "telephone_number": "949-667-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA DAVIES INDIVIDUAL & FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "RUTH PERRIGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-667-0854",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720541725",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TBH Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Irvine, CA
• Providers in Irvine, 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 Oct 14, 2024; 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.