Active NPI
Darlene Susan Valdez-Olguin, PH.D., LMFT
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1457932022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MR22525
- Practice address
- 1370 Brea Blvd Ste 210
Fullerton, CA 92835-4128 - Phone
- (714) 732-1773
- Fax
- (909) 367-2922
- NPI assigned
- Apr 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MR22525 | CA | Primary |
Addresses
Primary practice location
1370 Brea Blvd Ste 210
Fullerton, CA 92835-4128
Mailing address
1370 Brea Blvd Ste 210
Fullerton, CA 92835-4128
Phone (714) 732-1773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MR22525 | Other | CA | BOARD OF BEHAVIORAL SCIENCE EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MR22525 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tammy a Ouellette Psy.D. Apc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Fullerton, CA
- NPI 1528246394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1457932022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 BREA BLVD STE 210",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354128",
"telephone_number": "714-732-1773",
"fax_number": "909-367-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 BREA BLVD STE 210",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354128",
"telephone_number": "714-732-1773",
"fax_number": "909-367-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ-OLGUIN",
"first_name": "DARLENE",
"middle_name": "SUSAN",
"credential": "PH.D., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-15",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MR22525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCE EXAMINERS",
"identifier": "MR22525",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.