Individual provider Active NPI

Deanna Ozenbaugh, LMFT

  • Marriage & Family Therapist
  • Yorba Linda, CA
National Provider Identifier
1962049015
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT28001 Issued in CA
Practice address
18300 Yorba Linda Blvd Ste 203
Yorba Linda, CA 92886-4052
Phone
(714) 646-8034
Fax
(714) 492-8264
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT28001 CA Primary

Addresses

Primary practice location

18300 Yorba Linda Blvd Ste 203
Yorba Linda, CA 92886-4052

Mailing address

19681 Crestknoll Dr
Yorba Linda, CA 92886-6403
Phone (714) 624-6117

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
LMFT28001CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiron Psychological, Inc Marriage & Family Therapist CurrentSince Jan 24, 2020 Accepting new patients

Locations

18300 Yorba Linda Blvd
Ste 203
Yorba Linda, CA 92886
Phone (714) 572-3240

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1962049015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19681 CRESTKNOLL DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866403",
            "telephone_number": "714-624-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 YORBA LINDA BLVD STE 203",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864052",
            "telephone_number": "714-646-8034",
            "fax_number": "714-492-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZENBAUGH",
        "first_name": "DEANNA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT28001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.