Organization Active NPI

Want Institute

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1912034216
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
6801 Issued in CA
Legal business name
WANT INSTITUTE
Practice address
3355 Via Lido
# 205
Newport Beach, CA 92663
Phone
(949) 723-0338
Fax
(949) 458-0904
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Patricia Dianne Allen Shanahan, MFT 6801
Title
Director for Marriage Family and CH
Phone
(949) 723-0338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 6801 CA Primary

Addresses

Primary practice location

3355 Via Lido
# 205
Newport Beach, CA 92663

Mailing address

3355 Via Lido
# 205
Newport Beach, CA 92663-3960
Phone (949) 723-0338

Other names 1

  • For Marriage Family and Child Counseling Other name

National Provider Directory

National Provider Directory

Locations

3355 Via Lido
#205
Newport Beach, CA 92663
Phone (949) 723-0338

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1912034216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 VIA LIDO",
            "address_2": "# 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633960",
            "telephone_number": "949-723-0338",
            "fax_number": "949-458-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 VIA LIDO",
            "address_2": "# 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-723-0338",
            "fax_number": "949-458-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN SHANAHAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "DIRECTOR FOR MARRIAGE FAMILY AND CH",
        "authorized_official_telephone_number": "949-723-0338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MFT 6801"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "6801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Marriage Family and Child Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.