Alexandra Decleene

Key facts

NPI

1821487091

Entity type

Organization (NPI type 2)

Primary specialty

Marriage & Family Therapist 106H00000X

License

82559 (CA)

Legal business name

ALEXANDRA DECLEENE

Practice address

22653 PCH #10
Malibu, CA 90265

Phone

(424) 234-0128

NPI assigned

Jan 12, 2015

Organization subpart

No

Authorized official

Name

Alexandra Decleene, MFT NPI 1073990479

Title

Marriage and Family Therapist

Phone

(424) 234-0128

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Decleene, LMFT Marriage & Family Therapist · Topanga, CA · NPI 1073990479
  NPD (past) Authorized official MARRIAGE & FAMILY THERAPIST

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2015.

{
    "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": []
}

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