Cav Family Therapy Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CAV FAMILY THERAPY INC

Doing business as

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

Last updated

Jun 22, 2020By the provider in NPPES

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., LMFTNPI 1609918408

Title

Owner

Phone

(909) 247-8820

Specialties & licenses 4

Addresses

Other names 1

• CAV Family Therapy Inc Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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.

• Ernesto Casasola Segismundo Jr., LMFT

  • Marriage & Family Therapist
  • Brea, CA
  • NPI 1609918408
  Authorized official Same address or phone
• 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": [],
    "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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• Marriage & Family Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• 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.