Alexandra Decleene

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

82559 Issued in CA

Legal business name

ALEXANDRA DECLEENE

Practice address

22653 PCH #10
Malibu, CA 90265

Phone

(424) 234-0128

NPI assigned

Jan 12, 2015

Last updated

Feb 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandra Decleene, MFTNPI 1073990479

Title

Marriage and Family Therapist

Phone

(424) 234-0128

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Decleene, LMFT

  • Marriage & Family Therapist
  • Topanga, CA
  • NPI 1073990479
  NPD (past) Authorized official

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1821487091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1646",
            "city": "TOPANGA",
            "state": "CA",
            "postal_code": "902901646",
            "telephone_number": "424-234-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22653 PCH #10",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "424-234-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA DECLEENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "DECLEENE",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "424-234-0128",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acadia Malibu, Inc. (Alo House Recovery Centers)
• Acadia Malibu, Inc.
• Access Malibu, Inc
• Advanced Orthopeadic & Spine Institute, Inc
• Andrew Burl Aiello, D.O.
• Alignment Addiction Recovery Group LLC (Aarg)
• Seth McRae Amitin, LCSW
• Marion Anderson, PHD
• Christen Angelich
• Apn Connection, LLC

• Marriage & Family Therapist in Malibu, CA
• Providers in Malibu, 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 Feb 12, 2015; 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.