Active NPI
Anne Whittlesey Macdavid, MS, MFT
- Marriage & Family Therapist
- Coto de Caza, CA
National Provider Identifier
1649488396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 42748
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 42748 | CA | MD | Marriage & 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.