Individual provider Active NPI

Parul Modi, LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1821455809
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT110179 Issued in CA
Practice address
3785 S Plaza Dr
Santa Ana, CA 92704-7463
Phone
(714) 828-2000
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF88362 CA
Marriage & Family Therapist 106H00000X LMFT110179 CA Primary

Addresses

Primary practice location

3785 S Plaza Dr
Santa Ana, CA 92704-7463

Mailing address

3785 S. Plaza Dr
Santa Ana, CA 92704
Phone (714) 828-2000

Other practice location 1

5712 Camp St
Cypress, CA 90630-3145
Phone (714) 828-2000 ext. 317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF88362CAMDMarriage & Family Therapist
LMFT110179CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Straight Talk Clinic, Inc. CurrentSince May 18, 2011 Accepting new patients
Straight Talk Clinic, Inc. CurrentSince Jan 19, 2020 Accepting new patients
Charles Kodimer PHD Psychological Marriage & Family Therapist PastSince Jan 1, 2014 Accepting new patients

Locations

5712 Camp St
Cypress, CA 90630
Phone (714) 828-2000

3785 S Plaza Dr
Santa Ana, CA 92704
Phone (714) 828-2000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1821455809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 S. PLAZA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-828-2000",
            "fax_number": "714-828-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 S PLAZA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047463",
            "telephone_number": "714-828-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5712 Camp St",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "CA",
            "postal_code": "906303145",
            "country_code": "US",
            "telephone_number": "714-828-2000 x317",
            "fax_number": "714-828-2396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODI",
        "first_name": "PARUL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF88362",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT110179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.