TTC Family Therapy Center Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFC 39149 Issued in CA

Legal business name

TTC FAMILY THERAPY CENTER INC.

Practice address

28219 Agoura Rd
Agoura Hills, CA 91301-2403

Phone

(818) 735-0200

NPI assigned

Jul 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alexandra Edwards, PSY.D, MFTNPI 1962632802

Title

President, Executive Director

Phone

(818) 735-0200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Alexandra Edwards, PSY.D, MFT

  • Marriage & Family Therapist
  • Agoura Hills, CA
  • NPI 1962632802
  NPD (past) Authorized official
• Deena R Manion, PSY.D, LCSW

  • Clinical Social Worker
  • Agoura Hills, CA
  • NPI 1588894422
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1508096140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28219 AGOURA RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012403",
            "telephone_number": "818-735-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28219 AGOURA RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012403",
            "telephone_number": "818-735-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TTC FAMILY THERAPY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PRESIDENT, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-735-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC 39149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.