1245646017 NPI number — CYNTHIA BECK LMFT

Table of content: CYNTHIA BECK LMFT (NPI 1245646017)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245646017 NPI number — CYNTHIA BECK LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BECK
Provider First Name:
CYNTHIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245646017
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/14/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
725 E MAIN ST
Provider Second Line Business Mailing Address:
3RD FLOOR
Provider Business Mailing Address City Name:
SANTA PAULA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93060-2748
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-933-8480
Provider Business Mailing Address Fax Number:
805-933-2614

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
725 E MAIN ST
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
SANTA PAULA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93060-2748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-933-8480
Provider Business Practice Location Address Fax Number:
805-933-2614
Provider Enumeration Date:
07/01/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  119627 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 56CC . This is a "ASPIRA" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com