Active NPI
Candyce Zito, PSY.D. MFT
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1912901422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT 34730
- Practice address
- 305 N.Harbor Suite 202
Fullerton, CA 92832 - Phone
- (714) 879-5868
- NPI assigned
- Jun 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT 34730 | CA | Primary |
Addresses
Primary practice location
305 N.Harbor Suite 202
Fullerton, CA 92832
Mailing address
1220 Lima Cir
Placentia, CA 92870-4226
Phone (714) 996-2767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT 34730 | Other | CA | MARRIAGE FAMILY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 34730 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary E Eason PH D a Psychological Services Corporation | 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.
-
- Psychologist
- Fullerton, CA
- NPI 1912684507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912901422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 LIMA CIR",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928704226",
"telephone_number": "714-996-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N.HARBOR SUITE 202",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92832",
"telephone_number": "714-879-5868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZITO",
"first_name": "CANDYCE",
"name_prefix": "Dr.",
"credential": "PSY.D. MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT 34730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE FAMILY LICENSE",
"identifier": "MFT 34730",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.