Organization Active NPI

Chandra Chaikin Ms Licensedmarriage

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1720896269
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CHANDRA CHAIKIN MS LICENSEDMARRIAGE
Practice address
25401 Cabot Rd Ste 115
Laguna Hills, CA 92653-5530
Phone
(949) 215-0612
Fax
(949) 215-0636
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Chandra Baylor, MFT, BC-DMT, CEDSNPI 1215959408
Title
Owner
Phone
(949) 215-0612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Dance TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225600000X

Addresses

Primary practice location

25401 Cabot Rd Ste 115
Laguna Hills, CA 92653-5530

Mailing address

25401 Cabot Rd Ste 115
Laguna Hills, CA 92653-5530

Other names 1

  • Resilient Self Holistic Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

25401 Cabot Rd
Ste 115
Laguna Hills, CA 92653
Phone (949) 215-0612

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1720896269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD STE 115",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD STE 115",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535530",
            "telephone_number": "949-215-0612",
            "fax_number": "949-215-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDRA CHAIKIN MS LICENSEDMARRIAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "BAYLOR",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-215-0612",
        "authorized_official_credential": "MFT, BC-DMT, CEDS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilient Self Holistic Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Resilient Self Holistic Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.