Theresa De Long, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

2730 Wilshire Blvd
Suite 660
Santa Monica, CA 90403

Phone

(310) 383-0779

Fax

(310) 410-9507

NPI assigned

Mar 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1447592555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "SUITE 660",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-383-0779",
            "fax_number": "310-410-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "SUITE 660",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-383-0779",
            "fax_number": "310-410-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LONG",
        "first_name": "THERESA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MFC 52307",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank I De Czito, DDS
• Sagie De Guzman, PHD, A-CNS, ANP-C
• Amanda Noel De la Cerda, MD
• Angelica De la Fuente, M.S.
• Shantel Kimberly De Leon, LVN
• Edison Victor De Mello, MD PHD
• Sandra De Silva, M.A., PH.D.
• Stella Nikki De Stefanis, L.AC
• Monya De, MD, MPH
• Teresa Dean, M.D.

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, 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 Jul 9, 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.

Verify at the official NPI Registry.