Cav Family Therapy Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CAV FAMILY THERAPY INC

Practice address

5011 Argosy Ave Ste 9
Huntington Beach, CA 92649-1002

Phone

(909) 247-8820

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Ernesto C Segismundo Jr., LMFT

Title

Owner

Phone

(909) 247-8820

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• CAV Family Therapy Inc Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Jenny Truong, M.A. LMFT

  • Marriage & Family Therapist
  • Huntington Beach, CA
  • NPI 1548753288
  NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1780200261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 IMPERIAL HWY STE 104",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351048",
            "telephone_number": "909-247-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 ARGOSY AVE STE 9",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491002",
            "telephone_number": "909-247-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5020 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602120",
            "country_code": "US",
            "telephone_number": "909-247-8820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 Imperial Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928351048",
            "country_code": "US",
            "telephone_number": "909-247-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAV FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "SEGISMUNDO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-247-8820",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103T00000X",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106H00000X",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ernestos@cavfamilytherapy.com",
            "affiliation": "N",
            "endpointDescription": "Organization email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Record Exchange",
            "address_1": "5011 Argosy Ave Ste 9",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926491002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CAV Family Therapy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Huntington Beach, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.