Mary Margret Bangcawayan
Individual provider Active NPI Marriage & Family Therapist · Yucaipa, CA
NPI 1962220558 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1962220558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- AMFT148282 (CA)
- Practice address
- 10776 Fremont St
Yucaipa, CA 92399-9630 - Phone
- (909) 797-0114
- NPI assigned
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT148282 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Youth Services | Past | Accepting new patients | |
| Childnet Youth and Family Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT148282 | CA | Yes |
Addresses
Primary practice location
10776 Fremont St
Yucaipa, CA 92399-9630
Mailing address
10776 Fremont St
Yucaipa, CA 92399-9630
Phone (909) 797-0114
Other providers in Yucaipa, CA
- Tamara Avram
- Karen Ann Baker
- Rebecca Ann Baldwin
- Joyce I Bandele
- Andrew Banes
- Jared Samuel Baptist
- Mayra Nohemy Barahona
- Paola Barba
- Dishawna Marie Barnard
- Jessica Monique Baro
All providers in Yucaipa, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.