Individual provider Active NPI

Yvonne Degrasse Herman, MFT

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1679694673
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC36638 Issued in CA
Practice address
24031 El Toro Rd
250
Laguna Hills, CA 92653-3151
Phone
(949) 768-6845
Fax
(949) 768-5124
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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 MFC36638 CA Primary

Addresses

Primary practice location

24031 El Toro Rd
250
Laguna Hills, CA 92653-3151

Mailing address

24031 El Toro Rd
Suite 250
Laguna Hills, CA 92653-3151
Phone (949) 768-6845

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 Arts

State licenses

LicenseStateTypeSpecialty
MFC36638CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Windstone Behavioral Health Marriage & Family Therapist PastSince Apr 15, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1679694673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24031 EL TORO RD",
            "address_2": "SUITE 250",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533151",
            "telephone_number": "949-768-6845",
            "fax_number": "714-384-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24031 EL TORO RD",
            "address_2": "250",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533151",
            "telephone_number": "949-768-6845",
            "fax_number": "949-768-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "YVONNE",
        "middle_name": "DEGRASSE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.