Individual provider Active NPI

Duane Philip Osterlind, LMFT, CSAT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1780888040
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC44567 Issued in CA
Practice address
6695 E. Pacific Coast Hwy
Suite 135
Long Beach, CA 90803
Phone
(562) 431-5100
Fax
(562) 431-3560
NPI assigned
Jun 12, 2007
Last updated
May 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC44567 CA Primary

Addresses

Primary practice location

6695 E. Pacific Coast Hwy
Suite 135
Long Beach, CA 90803

Mailing address

6695 E. Pacific Coast Hwy
Suite 135
Long Beach, CA 90803
Phone (562) 431-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 18, 2024 through Nov 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC44567CAMDMarriage & Family Therapist
44567CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Mindful Life Institute Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1780888040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 E. PACIFIC COAST HWY",
            "address_2": "SUITE 135",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90803",
            "telephone_number": "562-431-5100",
            "fax_number": "562-431-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 E. PACIFIC COAST HWY",
            "address_2": "SUITE 135",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90803",
            "telephone_number": "562-431-5100",
            "fax_number": "562-431-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERLIND",
        "first_name": "DUANE",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "LMFT, CSAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC44567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.