Mindy Faith Chavez, M.S., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 43109 Issued in CA

Practice address

10200 Lehigh Ave
Montclair, CA 91763-3550

Phone

(909) 445-1616

Fax

(909) 445-1620

NPI assigned

Dec 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Melinda Faith Chavez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 12, 2024 through Jan 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1538438585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 LEHIGH AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633550",
            "telephone_number": "909-445-1616",
            "fax_number": "909-445-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 LEHIGH AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633550",
            "telephone_number": "909-445-1616",
            "fax_number": "909-445-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MINDY",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 43109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "CHAVEZ",
            "middle_name": "FAITH",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sudarshan Chatterjee, MD FACC
• Erica Chau
• Adrian Chavez
• Christian Chavez
• Lucio Chavez
• Emma Chinh-Ngo
• Cho Jeon Yun Dental Partnership
• Aaron Anthony Chochrek
• Anthony Choi, D.C.
• Erick Cholula

• Marriage & Family Therapist in Montclair, CA
• Providers in Montclair, 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 Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.