Individual provider Active NPI

Tory Beth Seagraves, LMFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1679904585
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
86295 Issued in CA
Practice address
3990 Westerly PL Ste 190
Newport Beach, CA 92660-2344
Phone
(714) 497-0768
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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 86295 CA Primary

Addresses

Primary practice location

3990 Westerly PL Ste 190
Newport Beach, CA 92660-2344

Mailing address

3990 Westerly PL Ste 190
Newport Beach, CA 92660-2344
Phone (714) 497-0768

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

LicenseStateTypeSpecialty
86295CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1679904585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 WESTERLY PL STE 190",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602344",
            "telephone_number": "714-497-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 WESTERLY PL STE 190",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602344",
            "telephone_number": "714-497-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGRAVES",
        "first_name": "TORY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86295",
            "primary": true
        }
    ],
    "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 Jun 18, 2015; 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.