Organization Active NPI

Harris Marriage & Family Therapy Inc

  • Marriage & Family Therapist
  • La Habra, CA
National Provider Identifier
1801005350
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC25622 Issued in CA
Legal business name
HARRIS MARRIAGE & FAMILY THERAPY INC
Practice address
731 N Beach Blvd
Suite 209a
La Habra, CA 90631
Phone
(562) 690-4060
Fax
(562) 690-8388
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mrs. Susan Kooyman Harris, MA CCCSLP
Title
President
Phone
(562) 690-4060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC25622 CA Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC38440 CA

Addresses

Primary practice location

731 N Beach Blvd
Suite 209a
La Habra, CA 90631

Mailing address

731 N Beach Blvd
Suite 209a
La Habra, CA 90631
Phone (562) 690-4060

Other names 1

  • Harris Marriage & Family Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

731 N Beach Blvd
Ste 209A
La Habra, CA 90631
Phone (562) 690-4060

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1801005350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N BEACH BLVD",
            "address_2": "SUITE 209A",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "562-690-4060",
            "fax_number": "562-690-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N BEACH BLVD",
            "address_2": "SUITE 209A",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "562-690-4060",
            "fax_number": "562-690-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS MARRIAGE & FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KOOYMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-690-4060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCCSLP"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC25622",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Marriage & Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.