Organization Active NPI

From Chrysalis to Wings Psychotherapy and Research Center

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1770887499
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT47234 Issued in CA
Legal business name
FROM CHRYSALIS TO WINGS PSYCHOTHERAPY AND RESEARCH CENTER
Doing business as
Chrysalis to Wings
Practice address
27285 Las Ramblas
Suite 232
Mission Viejo, CA 92691-6325
Phone
(949) 633-3995
Fax
(949) 916-6852
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Dr. Francine Carrier-Zorehkey, PH.D., L.M.F.T.
Title
Executive Director
Phone
(949) 916-6852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT47234 CA Primary

Addresses

Primary practice location

27285 Las Ramblas
Suite 232
Mission Viejo, CA 92691-6325

Mailing address

30021 Tomas Ste 300
Rancho Santa Margarita, CA 92688-2128
Phone (949) 916-6851

Other names 1

  • Chrysalis to Wings Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chrysalis to Wings2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27285 Las Ramblas
Ste 232
Mission Viejo, CA 92691
Phone (949) 460-2956

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1770887499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30021 TOMAS STE 300",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882128",
            "telephone_number": "949-916-6851",
            "fax_number": "949-916-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27285 LAS RAMBLAS",
            "address_2": "SUITE 232",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916325",
            "telephone_number": "949-633-3995",
            "fax_number": "949-916-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROM CHRYSALIS TO WINGS PSYCHOTHERAPY AND RESEARCH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "CARRIER-ZOREHKEY",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-916-6852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT47234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chrysalis to Wings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.