Rupa T Ward, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 59633 Issued in CA

Practice address

2845 Mesa Verde Dr E Ste 8
Costa Mesa, CA 92626-4858

Phone

(714) 432-9856

Fax

(714) 432-7075

NPI assigned

Apr 24, 2009

Last updated

Apr 24, 2009By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Yes, effective Feb 28, 2024 through Feb 29, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nancy D Young PHD

  dba Pathways to Wellness

  • Clinical Psychologist
  • Costa Mesa, CA
  • NPI 1104029784
  NPD (past)

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1457595183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 MESA VERDE DR E STE 8",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264858",
            "telephone_number": "714-432-9856",
            "fax_number": "714-432-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 MESA VERDE DR E STE 8",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264858",
            "telephone_number": "714-432-9856",
            "fax_number": "714-432-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "RUPA",
        "middle_name": "T",
        "credential": "MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 59633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yan Wang
• Zihan Wang
• Warby Parker Inc.
• Jessica Rose Ward
• Nicole Ward, MA, BCBA
• Nisha Warikoo, M.D.
• Chelsea Warn
• Sophia Elaine Warner
• Abigail Warnock
• Richard Allyn Warriner II, LCSW

• Marriage & Family Therapist in Costa Mesa, CA
• Providers in Costa Mesa, 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 Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.