The Paved Road

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT 47859 Issued in CA

Legal business name

THE PAVED ROAD

Practice address

4060 Campus Dr
Suite 110
Newport Beach, CA 92660-2217

Phone

(949) 399-1111

NPI assigned

Jan 30, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Douglas J Hutchinson, LMFT

Title

Partner

Phone

(949) 399-1111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Beisner, LMFT

  • Marriage & Family Therapist
  • Newport Beach, CA
  • NPI 1417588419
  NPD (past)

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1700124484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 CAMPUS DR",
            "address_2": "SUITE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602217",
            "telephone_number": "949-399-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 CAMPUS DR",
            "address_2": "SUITE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602217",
            "telephone_number": "949-399-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAVED ROAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "949-399-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 47859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Mental Health Collective, LLC
• The Mental Health Collective, LLC
• The Mental Health Collective, LLC
• The Movement Docs Inc
• The New Program
• The Ritz Health Center
• The Sonos Group
• The Surgery Center of Newport Coast, LLC (Newport Center Surgical)
• Abinaya Thenappan, MD
• Theodore K Gregorius MD Inc

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.