The Family Therapy Center Corp

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

THE FAMILY THERAPY CENTER CORP

Practice address

29995 Technology Dr Ste 103
Murrieta, CA 92563-2633

Phone

(951) 384-1661

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Kateline Medina, M.S.NPI 1992242168

Title

Ceo/Cfo

Phone

(951) 836-6727

Specialties & licenses 4

Addresses

Other names 1

• The FAMILY THERAPY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Kateline Medina, LICENSED

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1992242168
  Medicare reassignment NPD Authorized official
• Veronica Estrada

  • Professional Counselor
  • Riverside, CA
  • NPI 1649140849
  NPD (past)
• Daylene Alexus Medina, MSW, ACSW

  • Social Worker
  • Jurupa Valley, CA
  • NPI 1578446100
  NPD (past)
• Teresa Ruiz Lorenzo

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1740835594
  NPD (past)

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1851143879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53573",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925174573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29995 TECHNOLOGY DR STE 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632633",
            "telephone_number": "951-384-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3576 Arlington Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063943",
            "country_code": "US",
            "telephone_number": "951-384-1661",
            "fax_number": "951-823-5813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE FAMILY THERAPY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "KATELINE",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "951-836-6727",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-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": [
        {
            "organization_name": "The FAMILY THERAPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arian Teymoorian, M.D.
• Herbert Tezeno Jr., OTA, BSW, MSW
• Manan Thaker
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• The Hills of South Creek I
• The Hills of South Creek II
• The Lemonade House LLC
• The New You Academy, LLC

• Marriage & Family Therapist in Murrieta, CA
• Providers in Murrieta, 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 Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.