Newport Mesa Individual and Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

NEWPORT MESA INDIVIDUAL AND FAMILY THERAPY

Practice address

1300 Bristol St N Ste 216
Newport Beach, CA 92660-2952

Phone

(714) 273-9151

NPI assigned

Sep 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Tim D Moyers, DMIN

Title

President

Phone

(714) 273-9151

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567382400000",
    "number": "1801444948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRISTOL ST N STE 216",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602952",
            "telephone_number": "714-273-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRISTOL ST N STE 216",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602952",
            "telephone_number": "714-273-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT MESA INDIVIDUAL AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A",
        "authorized_official_last_name": "MOYERS",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-273-9151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "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": [],
    "other_names": []
}

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• Newport Neurohospitalist Medical Group Inc
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• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport 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 Sep 2, 2019; 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.