Organization Active NPI

Esther K. Shin Marriage and Family Therapy Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fullerton, CA
National Provider Identifier
1710635008
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ESTHER K. SHIN MARRIAGE AND FAMILY THERAPY INC.
Practice address
1370 Brea Blvd Ste 234
Fullerton, CA 92835-4125
Phone
(714) 202-6634
NPI assigned
Mar 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Esther Kim Shin
Title
Founder
Phone
(714) 202-6634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1370 Brea Blvd Ste 234
Fullerton, CA 92835-4125

Mailing address

1370 Brea Blvd Ste 234
Fullerton, CA 92835-4125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1710635008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 BREA BLVD STE 234",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 BREA BLVD STE 234",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354125",
            "telephone_number": "714-202-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHER K. SHIN MARRIAGE AND FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "714-202-6634"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.