Organization Active NPI

Paxwell Child & Family Therapy, Inc.

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1457159089
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PAXWELL CHILD & FAMILY THERAPY, INC.
Practice address
27281 Las Ramblas Ste 200
Mission Viejo, CA 92691-8303
Phone
(949) 490-2819
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Athalie Mourey
Title
Chief Executive Officer
Phone
(949) 490-2819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

27281 Las Ramblas Ste 200
Mission Viejo, CA 92691-8303

Mailing address

17602 17TH St Ste 120-66
Tustin, CA 92780-1961

National Provider Directory

National Provider Directory

Locations

17602 17th St
Ste 12066
Tustin, CA 92780

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1457159089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17602 17TH ST STE 120-66",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27281 LAS RAMBLAS STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918303",
            "telephone_number": "949-490-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAXWELL CHILD & FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "MOUREY",
        "authorized_official_first_name": "ATHALIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-490-2819"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.