Organization Active NPI

Newdawn Marriage & Family Therapy, a Prof. Corp.

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1902216799
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52689 Issued in CA
Legal business name
NEWDAWN MARRIAGE & FAMILY THERAPY, A PROF. CORP.
Practice address
155 Granada St
Suite N
Camarillo, CA 93010-7866
Phone
(805) 987-3162
NPI assigned
May 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Gita Terry, MA, MFT, JD
Title
Ceo/Psyychotherapist
Phone
(310) 948-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 52689 CA Primary

Addresses

Primary practice location

155 Granada St
Suite N
Camarillo, CA 93010-7866

Mailing address

5638 Middle Crest Dr
Agoura Hills, CA 91301-4069
Phone (310) 948-2801

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1902216799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 MIDDLE CREST DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014069",
            "telephone_number": "310-948-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GRANADA ST",
            "address_2": "SUITE N",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107866",
            "telephone_number": "805-987-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWDAWN MARRIAGE & FAMILY THERAPY, A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "GITA",
        "authorized_official_title_or_position": "CEO/PSYYCHOTHERAPIST",
        "authorized_official_telephone_number": "310-948-2801",
        "authorized_official_credential": "MA, MFT, JD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.