Individual provider Active NPI

Gary Wayne McBeath, DR

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1912494352
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC40195 Issued in CA
Practice address
17821 E 17TH Street
Suite # 260
Tustin, CA 92780
Phone
(714) 730-7846
Fax
(714) 265-4870
NPI assigned
Apr 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X
Marriage & Family Therapist 106H00000X MFC40195 CA Primary

Addresses

Primary practice location

17821 E 17TH Street
Suite # 260
Tustin, CA 92780

Mailing address

17821 E 17TH Street
Suite # 260
Tustin, CA 92780
Phone (714) 730-7846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC40195CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Psychotherapy Associates, Inc. Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1912494352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17821 E 17TH STREET",
            "address_2": "SUITE # 260",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-730-7846",
            "fax_number": "714-265-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17821 E 17TH STREET",
            "address_2": "SUITE # 260",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-730-7846",
            "fax_number": "714-265-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBEATH",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "DR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.