Travis Taylor Marriage and Family Therapy, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

TRAVIS TAYLOR MARRIAGE AND FAMILY THERAPY, INC.

Practice address

17662 Irvine Blvd Ste 7
Tustin, CA 92780-3132

Phone

(909) 816-9417

NPI assigned

Jun 11, 2019

Last updated

Jun 11, 2019By 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

Travis R Taylor, LMFTNPI 1861948275

Title

Ceo

Phone

(909) 816-9417

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.

• Travis R Taylor, MS LMFT

  • Marriage & Family Therapist
  • Chino, CA
  • NPI 1861948275
  NPD Authorized official

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1538728738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 AMANDA DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104782",
            "telephone_number": "909-816-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17662 IRVINE BLVD STE 7",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803132",
            "telephone_number": "909-816-9417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Long Beach Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908075411",
            "country_code": "US",
            "telephone_number": "909-816-9417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAVIS TAYLOR MARRIAGE AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-816-9417",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bryan Trinh

• Adult Mental Health Clinic/Center in Tustin, CA
• Providers in Tustin, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.