Individual provider Active NPI

Anne Whittlesey Macdavid, MS, MFT

  • Marriage & Family Therapist
  • Coto de Caza, CA
National Provider Identifier
1649488396
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 42748 Issued in CA
Practice address
4 Coffeeberry CT
Coto de Caza, CA 92679-4945
Phone
(949) 322-2331
Fax
(949) 858-2408
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 42748 CA Primary

Addresses

Primary practice location

4 Coffeeberry CT
Coto de Caza, CA 92679-4945

Mailing address

4 Coffeeberry CT
Coto de Caza, CA 92679-4945
Phone (949) 322-2331

Other names 1

  • Ann W- Macdavid Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC 42748CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1649488396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COFFEEBERRY CT",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "926794945",
            "telephone_number": "949-322-2331",
            "fax_number": "949-858-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COFFEEBERRY CT",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "926794945",
            "telephone_number": "949-322-2331",
            "fax_number": "949-858-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDAVID",
        "first_name": "ANNE",
        "middle_name": "WHITTLESEY",
        "credential": "MS, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 42748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "MACDAVID",
            "middle_name": "W-",
            "credential": "MS, MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coto de Caza, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.