Organization Active NPI

Xander Marriage and Family Therapy Inc

  • Marriage & Family Therapist
  • Yucaipa, CA
National Provider Identifier
1902647159
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
XANDER MARRIAGE AND FAMILY THERAPY INC
Practice address
36335 Canyon Terrace Dr
Yucaipa, CA 92399-5822
Phone
(909) 503-3475
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
St. Clair Alexander, LMFTNPI 1265568984
Title
Owner
Phone
(909) 503-3475

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

Specialties & licenses 1

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

Addresses

Primary practice location

36335 Canyon Terrace Dr
Yucaipa, CA 92399-5822

Mailing address

36335 Canyon Terrace Dr
Yucaipa, CA 92399-5822
Phone (909) 503-3475

Other names 1

  • XANDER MENTAL HEALTH Doing business as

National Provider Directory

National Provider Directory

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": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1902647159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36335 CANYON TERRACE DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995822",
            "telephone_number": "909-503-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36335 CANYON TERRACE DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995822",
            "telephone_number": "909-503-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XANDER MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ST. CLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-503-3475",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XANDER MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.