Organization Active NPI

Sandra Dawson, Ma, MFT, Marriage & Family Counseling, Apc

  • Marriage & Family Therapist
  • Marina del Rey, CA
National Provider Identifier
1699806695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC35360 Issued in CA
Legal business name
SANDRA DAWSON, MA, MFT, MARRIAGE & FAMILY COUNSELING, APC
Practice address
4077 Glencoe Ave
#109
Marina del Rey, CA 90292-5870
Phone
(310) 291-2201
Fax
(432) 206-6112
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sandra Dawson, MA, MFT
Title
President
Phone
(310) 291-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC35360 CA Primary

Addresses

Primary practice location

4077 Glencoe Ave
#109
Marina del Rey, CA 90292-5870

Mailing address

4077 Glencoe Ave
#109
Marina del Rey, CA 90292-5870
Phone (310) 291-2201

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699806695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 GLENCOE AVE",
            "address_2": "#109",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925870",
            "telephone_number": "310-291-2201",
            "fax_number": "432-206-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 GLENCOE AVE",
            "address_2": "#109",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925870",
            "telephone_number": "310-291-2201",
            "fax_number": "432-206-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA DAWSON, MA, MFT, MARRIAGE & FAMILY COUNSELING, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-291-2201",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.