Organization Active NPI

Terri Phillips Marriage and Family Therapist Inc

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1750679734
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 33153 Issued in CA
Legal business name
TERRI PHILLIPS MARRIAGE AND FAMILY THERAPIST INC
Practice address
32605 Temecula Pkwy
#208
Temecula, CA 92592-6837
Phone
(909) 730-0410
NPI assigned
Jul 12, 2011
Last updated
Jul 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Terri Phillips, MFTNPI 1770387425
Title
President
Phone
(909) 730-0410

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 33153 CA Primary

Addresses

Primary practice location

32605 Temecula Pkwy
#208
Temecula, CA 92592-6837

Mailing address

32605 Temecula Pkwy
#208
Temecula, CA 92592-6837
Phone (909) 730-0410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 6, 2024 through Mar 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

32605 Temecula Pkwy
Ste 208
Temecula, CA 92592
Phone (760) 845-2658

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1750679734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY",
            "address_2": "#208",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926837",
            "telephone_number": "909-730-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY",
            "address_2": "#208",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926837",
            "telephone_number": "909-730-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI PHILLIPS MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-730-0410",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 33153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.