Active NPI
Shape 4 Families Inc.
- Marriage & Family Therapist
- Irvine, CA
National Provider Identifier
1801528773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- SHAPE 4 FAMILIES INC.
- Practice address
- 18 Technology Dr Ste 118
Irvine, CA 92618-2310 - Phone
- (949) 922-1115
- NPI assigned
- Jun 28, 2022
- 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
- Karl Stenske
- Title
- Secretary/ Treasurer
- Phone
- (949) 922-1115
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
18 Technology Dr Ste 118
Irvine, CA 92618-2310
Mailing address
18 Technology Dr Ste 118
Irvine, CA 92618-2310
Phone (949) 922-1115
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Irvine, CA
- NPI 1033815634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656374400000",
"number": "1801528773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 TECHNOLOGY DR STE 118",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182310",
"telephone_number": "949-922-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 TECHNOLOGY DR STE 118",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182310",
"telephone_number": "949-922-1115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAPE 4 FAMILIES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-28",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A",
"authorized_official_last_name": "STENSKE",
"authorized_official_first_name": "KARL",
"authorized_official_title_or_position": "SECRETARY/ TREASURER",
"authorized_official_telephone_number": "949-922-1115"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.