Organization Active NPI

Artemis Center for Family, a Professional Corporation

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1447511084
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
42001 Issued in CA
Legal business name
ARTEMIS CENTER FOR FAMILY, A PROFESSIONAL CORPORATION
Practice address
815 S Averill Ave
San Pedro, CA 90732-3815
Phone
(310) 809-2011
Fax
(310) 832-0862
NPI assigned
May 30, 2012
Last updated
May 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Mrs. Artemis Tegan, MFCNPI 1972669141
Title
Owner/Cfo
Phone
(310) 809-2011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 42001 CA Primary

Addresses

Primary practice location

815 S Averill Ave
San Pedro, CA 90732-3815

Mailing address

1621 W. 25TH Street, #221
San Pedro, CALIFORNIA 90732
UM
Phone (310) 809-2011

Other names 1

  • Artemis Center For Healing & Growth Other name

National Provider Directory

National Provider Directory

Locations

815 S Averill Ave
San Pedro, CA 90732
Phone (310) 809-2011

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1447511084",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1621 W. 25TH STREET, #221",
            "city": "SAN PEDRO",
            "state": "CALIFORNIA",
            "postal_code": "90732",
            "telephone_number": "310-809-2011",
            "fax_number": "310-832-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S AVERILL AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323815",
            "telephone_number": "310-809-2011",
            "fax_number": "310-832-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEMIS CENTER FOR FAMILY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "TEGAN",
        "authorized_official_first_name": "ARTEMIS",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "310-809-2011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MFC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artemis Center For Healing & Growth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.