Active NPI
Dana Suzanne Dunham
- Marriage & Family Therapist
- Yucca Valley, CA
National Provider Identifier
1679841571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT95760
- Practice address
- 58967 Business Center Dr
Suite C, D, & E
Yucca Valley, CA 92284-7308 - Phone
- (760) 946-8200
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 66372 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT95760 | CA | Primary |
Addresses
Primary practice location
58967 Business Center Dr
Suite C, D, & E
Yucca Valley, CA 92284-7308
Mailing address
58967 Business Center Dr
Suite C, D, & E
Yucca Valley, CA 92284-7308
Phone (760) 946-8200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 66372 | CA | MD | Marriage & Family Therapist |
| LMFT95760 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino County Superintendent of Schools | Past | 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.
-
- Community/Behavioral Health Agency
- Apple Valley, CA
- NPI 1518091966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1679841571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58967 BUSINESS CENTER DR",
"address_2": "SUITE C, D, & E",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847308",
"telephone_number": "760-946-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58967 BUSINESS CENTER DR",
"address_2": "SUITE C, D, & E",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847308",
"telephone_number": "760-946-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "DANA",
"middle_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 66372",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT95760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.