Sean Lewis, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF86379 Issued in CA

Practice address

158 Gentry St
Pomona, CA 91767-2100

Phone

(909) 599-8222

NPI assigned

Feb 27, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Allyson Wells MD Inc

  • Child & Adolescent Psychiatry Physician
  • Long Beach, CA
  • NPI 1770181257
  NPD (past)
• Childnet Youth and Family Services Inc

  • Community/Behavioral Health Agency
  • Long Beach, CA
  • NPI 1760519219
  NPD (past)
• Heritage Group Homes Inc.

  • Community/Behavioral Health Agency
  • Covina, CA
  • NPI 1346804432
  NPD (past)

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1851716807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E PACIFIC COAST HWY",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043312",
            "telephone_number": "562-490-7600",
            "fax_number": "562-490-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 GENTRY ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672100",
            "telephone_number": "909-599-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 E Pacific Coast Hwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908043312",
            "country_code": "US",
            "telephone_number": "562-490-7600",
            "fax_number": "562-490-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SEAN",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF86379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Marie Lewallen, CADAC-STUDENT
• Lewis Garcia
• Candra Lewis
• Devin Damani Lewis
• Janet Lewis
• Nicole M Leyster, DPT
• Christina M Leyva, MFTI
• Brianna Li
• Debory Li
• Janice Xing-Yi Li

• Marriage & Family Therapist in Pomona, CA
• Providers in Pomona, 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 11, 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.