Beverly Susan Parker Dennis, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT39404 Issued in CA

Practice address

2160 Fletcher Parkway
B-1
El Cajon, CA 92020-2115

Phone

(619) 562-9000

Fax

(619) 670-5010

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Beverly Susan Parker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1821173030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 FLETCHER PKWY",
            "address_2": "B-1",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202139",
            "telephone_number": "619-562-9000",
            "fax_number": "619-670-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 FLETCHER PARKWAY",
            "address_2": "B-1",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202115",
            "telephone_number": "619-562-9000",
            "fax_number": "619-670-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER DENNIS",
        "first_name": "BEVERLY",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT39404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MFT39404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "PARKER",
            "middle_name": "SUSAN",
            "prefix": "MISS",
            "credential": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Papaleo, PH.D.
• Lauren Athena Papanos, MS, RD, CSSD
• Chandani Parikh, SLP
• Judith Justin Park
• Tari Y Park, MD
• Lozen Parker Pittman
• Kristina Parker, PPS
• Parkside Healthcare, Inc.
• Parkside Special Care Center Inc
• Briana Parra

• Marriage & Family Therapist in El Cajon, CA
• Providers in El Cajon, 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 Jun 20, 2013; 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.