Full Brain Family Therapy Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

FULL BRAIN FAMILY THERAPY INC

Practice address

29829 Santa Margarita Pkwy
Rancho Santa Margarita, CA 92688-3622

Phone

(949) 464-8055

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Morgan Pemberton, LMFTNPI 1083279129

Title

Ceo/Lead Therapist

Phone

(949) 464-8055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Morgan Pemberton, LMFT

  • Marriage & Family Therapist
  • Laguna Beach, CA
  • NPI 1083279129
  Authorized official Same address or phone

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1528637519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27762 ANTONIO PKWY STE L1",
            "address_2": "#251",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941141",
            "telephone_number": "949-464-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29829 SANTA MARGARITA PKWY",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883622",
            "telephone_number": "949-464-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BRAIN FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "CEO/LEAD THERAPIST",
        "authorized_official_telephone_number": "949-464-8055",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneta K Franek, PT
• Orest Frangopol, D.D.S.
• Brian M. Frank, AT
• Robert Scott Fridlind, D.M.D.
• Robert Duane Frost, PA-C
• Susan Gaebler, BS
• Barbara P Gaffino, DDS
• Kristin Galati, SLPA
• Galenix Pharmacy Inc (Medsrx Pharmacy)
• Jennifer Galich, FNP-C

• Marriage & Family Therapist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, 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 Jun 23, 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.

Verify at the official NPI Registry.