Organization Active NPI

Soft Clay Marriage Family Therapy, Inc.

  • Marriage & Family Therapist
  • Cerritos, CA
National Provider Identifier
1518234251
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFCC42686 Issued in CA
Legal business name
SOFT CLAY MARRIAGE FAMILY THERAPY, INC.
Practice address
18000 Studebaker Rd Ste 700
Cerritos, CA 90703-2684
Phone
(562) 467-8958
Fax
(562) 467-8959
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Mrs. Kimberly Ann Navarro, M.S.
Title
LMFT, Owner
Phone
(562) 467-8958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFCC42686 CA Primary

Addresses

Primary practice location

18000 Studebaker Rd Ste 700
Cerritos, CA 90703-2684

Mailing address

18000 Studebaker Rd.
Ste. 700
Cerritos, CA 90703-2684
Phone (562) 467-8958

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1518234251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD.",
            "address_2": "STE. 700",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032684",
            "telephone_number": "562-467-8958",
            "fax_number": "562-467-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 700",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032684",
            "telephone_number": "562-467-8958",
            "fax_number": "562-467-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFT CLAY MARRIAGE FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LMFT, OWNER",
        "authorized_official_telephone_number": "562-467-8958",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFCC42686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.