Active NPI
Want Institute
- Marriage & Family Therapist
- Newport Beach, CA
National Provider Identifier
1912034216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 6801
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.