Active NPI
Ann Taylor Vance, PH.D.
- Marriage & Family Therapist
- Simi Valley, CA
National Provider Identifier
1649204967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC40007
- Practice address
- 3021 Paige Ave
Simi Valley, CA 93063-1056 - Phone
- (805) 573-1950
- Fax
- (805) 579-3620
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MFC40007 | CA | Primary |
Addresses
Primary practice location
3021 Paige Ave
Simi Valley, CA 93063-1056
Mailing address
3021 Paige Ave
Simi Valley, CA 93063-1056
Phone (805) 573-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260505004491 | HI | Practitioner - Marriage and Family Therapist | 3678041902 | Practice locations: Wailuku, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
34 Ia Iki St
Wailuku, HI 96793-4172
Phone (805) 573-1950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC40007 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649204967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 PAIGE AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930631056",
"telephone_number": "805-573-1950",
"fax_number": "805-579-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 PAIGE AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930631056",
"telephone_number": "805-573-1950",
"fax_number": "805-579-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "ANN",
"middle_name": "TAYLOR",
"name_prefix": "Mrs.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC40007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.