NPIMap

Organization Active NPI

Nancy Paloma Collins Licensed Marriage and Family Therapist Inc.

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1659906030
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NANCY PALOMA COLLINS LICENSED MARRIAGE AND FAMILY THERAPIST INC.
Practice address
4701 Von Karman Ave Ste 331
Newport Beach, CA 92660-8150
Phone
(949) 536-5133
NPI assigned
Mar 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Nancy Paloma CollinsNPI 1629311980
Title
Owner
Phone
(323) 896-9794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4701 Von Karman Ave Ste 331
Newport Beach, CA 92660-8150

Mailing address

4701 Von Karman Ave Ste 331
Newport Beach, CA 92660-8150
Phone (323) 896-9794

Other names 1

  • Nancy Paloma Collins Licensed Marriage and Family Therapist Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

4701 Von Karman Ave
Ste 331
Newport Beach, CA 92660
Phone (323) 896-9794

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1659906030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 VON KARMAN AVE STE 331",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608150",
            "telephone_number": "323-896-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 VON KARMAN AVE STE 331",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608150",
            "telephone_number": "949-536-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY PALOMA COLLINS LICENSED MARRIAGE AND FAMILY THERAPIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "PALOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-896-9794"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nancy Paloma Collins Licensed Marriage and Family Therapist Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.