Active NPI
Addiction Therapy Newport Beach
- Marriage & Family Therapist
- Newport Beach, CA
National Provider Identifier
1679239354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- ADDICTION THERAPY NEWPORT BEACH
- Practice address
- 4540 Campus Dr
Newport Beach, CA 92660-1815 - Phone
- (562) 607-2496
- NPI assigned
- Nov 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ayse Ipek Aykol, M.S.
- Title
- LMFT, Owner
- Phone
- (562) 607-2496
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
4540 Campus Dr
Newport Beach, CA 92660-1815
Mailing address
4540 Campus Dr
Newport Beach, CA 92660-1815
Phone (562) 607-2496
National Provider Directory
National Provider DirectoryLocations
4540 Campus Dr
Newport Beach, CA 92660
Phone (562) 607-2496
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Newport Beach, CA
- NPI 1770996878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639008000000",
"number": "1679239354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 CAMPUS DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601815",
"telephone_number": "562-607-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 CAMPUS DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601815",
"telephone_number": "562-607-2496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADDICTION THERAPY NEWPORT BEACH",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-16",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A",
"authorized_official_last_name": "AYKOL",
"authorized_official_first_name": "AYSE",
"authorized_official_middle_name": "IPEK",
"authorized_official_title_or_position": "LMFT, OWNER",
"authorized_official_telephone_number": "562-607-2496",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.