Vanessa Jane Cardin, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

104616 Issued in CA

Practice address

17111 Beach Blvd Ste 205
Huntington Beach, CA 92647

Phone

(714) 654-1570

NPI assigned

Apr 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• BBK Psychotherapeutic Services, Inc.

  • Marriage & Family Therapist
  • Santa Ana, CA
  • NPI 1679872196
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1952807448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17111 BEACH BLVD STE 205",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475947",
            "telephone_number": "714-654-1570",
            "fax_number": "844-533-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17111 BEACH BLVD STE 205",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92647",
            "telephone_number": "714-654-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Golden Circle Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053913",
            "country_code": "US",
            "telephone_number": "714-543-0483",
            "fax_number": "714-543-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDIN",
        "first_name": "VANESSA",
        "middle_name": "JANE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel E Capdevila, DDS
• Devin Capela, PT, DPT
• Brian W. Capeloto, M.D.
• Marianna Capozzoli
• Nancy Cardenas
• Wendy Cardinal-Nix, CMT
• Madison Gianna Marie Cardullo, RDN
• Care Behavioral Concepts
• Care Dimensions LLC
• Carissa Karner

• Marriage & Family Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.