Active NPI
Dawn Nicoli Dades, M.F.T.
- Marriage & Family Therapist
- Covina, CA
National Provider Identifier
1548398472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC29487
- Practice address
- 508 S 2ND Ave
Covina, CA 91723-3012 - Phone
- (626) 974-8122
- Fax
- (626) 974-8198
- NPI assigned
- Mar 1, 2007
- Last updated
- Aug 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC29487 | CA | Primary |
Addresses
Primary practice location
508 S 2ND Ave
Covina, CA 91723-3012
Mailing address
985 Kendall Dr
Unit 283
San Bernardino, CA 92407-4315
Phone (626) 974-1822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC29487 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Social Model Recovery Systems, Inc. | Past | Accepting new patients | |
| Social Model Recovery Systems, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1497834089
-
dba River Community Covina
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1508994369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1548398472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 KENDALL DR",
"address_2": "UNIT 283",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924074315",
"telephone_number": "626-974-1822",
"fax_number": "626-974-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 S 2ND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233012",
"telephone_number": "626-974-8122",
"fax_number": "626-974-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADES",
"first_name": "DAWN",
"middle_name": "NICOLI",
"credential": "M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC29487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
- Cynthia Colone (Daily Life Healthcare Supplies)
- Cyrus Nasserian MD Cesar Cruz MD Sambin Wang DO and Zaheib Idrees D (California Psychiatric Group)
- Cyrus Nasserian, M.D. Inc
- D & P Homecare LLC (All for Moms Homecare)
- Matthew Dademasch
- Dagher MD Medical Group Inc
- Dagher MD Medical Group Inc
- Sonja S Dais Owens, D.V.M.
- Noor Dakkak
- Cynthia Chang Daley, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.