Individual provider Active NPI

Myesha Nicole Dunn, M.A.

  • Marriage & Family Therapist
  • Upland, CA
National Provider Identifier
1497931711
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53009 Issued in CA
Practice address
1214 Eddington St
Upland, CA 91786-3440
Phone
(909) 931-1137
Fax
(909) 466-4815
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 53009 CA Primary

Addresses

Primary practice location

1214 Eddington St
Upland, CA 91786-3440

Mailing address

1214 Eddington St
Upland, CA 91786-3440
Phone (909) 931-1137

Other practice location 1

2080 S E St Ste 250
San Bernardino, CA 92408-2706
Phone (909) 433-9300 ext. 300

Other names 1

  • Mrs. Myesha Nicole Dunn Professional name

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
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Fields Comp. Youth Services, Inc. Past Accepting new patients
Fields Comp. Youth Services Inc. PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1497931711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 EDDINGTON ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863440",
            "telephone_number": "909-931-1137",
            "fax_number": "909-466-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 EDDINGTON ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863440",
            "telephone_number": "909-931-1137",
            "fax_number": "909-466-4815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 S E St Ste 250",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924082706",
            "country_code": "US",
            "telephone_number": "909-433-9300 x300",
            "fax_number": "909-433-9308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "MYESHA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYESHA",
            "last_name": "DUNN",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.