Colvin Individual and Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 44052 Issued in CA

Legal business name

COLVIN INDIVIDUAL AND FAMILY THERAPY

Practice address

2900 Bristol St
Suite A207
Costa Mesa, CA 92626-5981

Phone

(949) 290-4922

NPI assigned

Jan 26, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Harper ColvinNPI 1558450809

Title

President

Phone

(949) 290-4922

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Harper Colvin

  • Marriage & Family Therapist
  • Costa Mesa, CA
  • NPI 1558450809
  NPD (past) Authorized official

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1972834299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST",
            "address_2": "SUITE A207",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265981",
            "telephone_number": "949-290-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST",
            "address_2": "SUITE A207",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265981",
            "telephone_number": "949-290-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLVIN INDIVIDUAL AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-290-4922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Collier
• Aren Collins
• Regina Marie Collins, B.S., M.S., MFTI
• Colon Hydrotherapy & Beauty Inc
• Edwin Colunga
• Timothy Harper Colvin
• Freddie Joe Combs Jr., M.D.
• Comfort RX, LLC
• Comfygo, Inc
• Community Diagnostics LLC

• Marriage & Family Therapist in Costa Mesa, CA
• Providers in Costa Mesa, 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 Jan 26, 2010; 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.