Organization Active NPI

Orange County Depression & Anxiety Family Therapy

  • Marriage & Family Therapist
  • Anaheim, CA
National Provider Identifier
1851839476
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT51542 Issued in CA
Legal business name
ORANGE COUNTY DEPRESSION & ANXIETY FAMILY THERAPY
Practice address
505 S Villa Real
117
Anaheim, CA 92807-3445
Phone
(657) 236-4411
Fax
(657) 236-4747
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Janet Francis-Cisneros, LMFT
Title
President
Phone
(657) 236-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT51542 CA Primary

Addresses

Primary practice location

505 S Villa Real
117
Anaheim, CA 92807-3445

Mailing address

505 S Villa Real
117
Anaheim, CA 92807-3445

National Provider Directory

National Provider Directory

Locations

505 S Villa Real
Ste 117
Anaheim, CA 92807
Phone (657) 236-4411

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1851839476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S VILLA REAL",
            "address_2": "117",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VILLA REAL",
            "address_2": "117",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073445",
            "telephone_number": "657-236-4411",
            "fax_number": "657-236-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY DEPRESSION & ANXIETY FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "FRANCIS-CISNEROS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "657-236-4411",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT51542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.