Active NPI
Harris Marriage & Family Therapy Inc
- Marriage & Family Therapist
- La Habra, CA
National Provider Identifier
1801005350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC25622
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC25622 | CA | Primary |
| Marriage & Family Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.