REVOLUTION PSYCHOTHERAPY, A FAMILY AND MARRIAGE THERAPY CORPORATION


Address: 3319 Telegraph Rd Ste 108, Ventura, CA 93003-3319
Phone: 8058889254

REVOLUTION PSYCHOTHERAPY, A FAMILY AND MARRIAGE THERAPY CORPORATION (NPI# 1811540909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811540909
Entity Type Organization
Organization Name REVOLUTION PSYCHOTHERAPY, A FAMILY AND MARRIAGE THERAPY CORPORATION
Practice Address 3319 Telegraph Rd Ste 108
Ventura
CA 93003-3319
Mailing Address 901 Mercer Ave
Ojai
CA 93023-2927
Practice Telephone 8058889254
Practice Fax Number 8056693525
Mailing Telephone 8058889254
Mailing Fax Number 8056693525
Enumeration Date 2019-07-18
Last Update Date 2019-07-18
Authorized Official Name MR. MICHEAL FRANCES SMITH (PRESIDENT)
Authorized Official Telephone 8058889254
Authorized Official Credential CALIFORNIA LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NPPES 1346513363 01

Office Location

Street Address 3319 TELEGRAPH RD STE 108
City VENTURA
State CA
Zip Code 93003-3319

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124645924 Community Memorial Health System Pharmacy 2790 Loma Vista Road, Ventura, CA 93003 2020-06-29
1730702952 Sarah Manon Begert Student in an Organized Health Care Education/Training Program 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 2020-05-21
1033763677 Ashley Danielle Aguilar Counselor 5740 Ralston Suite 100, Ventura, CA 93003 2019-08-01
1730747239 Azadeh Ellsworth Nurse Practitioner 1752 S Victoria Ave Ste 250, Ventura, CA 93003 2019-05-31
1992275556 Melissa Marie Cole Social Worker 4949 Market St, Ventura, CA 93003 2018-11-27
1851868400 Weldon Acupuncture Professional Corporation Acupuncturist 3737 Telegraph Road, Suite F, Ventura, CA 93003 2018-10-31
1952876468 Isabella Florencia Gallegos Specialist/Technologist 1857 Knoll Dr., Ventura, CA 93003 2018-10-11
1437645421 Jill Huang Wong Psychologist 3585 Maple St Ste 248, Ventura, CA 93003 2018-07-02
1346735156 Lisa Ngoc Thi Nguyen Student in an Organized Health Care Education/Training Program 147 N. Brent Street, Ventura, CA 93003 2018-06-25
1457845331 Khloe Frank Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-14
Find all providers in zip 93003

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437771664 Gloria Yruegas Gonzales Marriage & Family Therapist 2895 Loma Vista Rd Ste B, Ventura, CA 93003-1523 2020-05-11
1366063570 Siobhan Mcdevitt Marriage & Family Therapist 73 N Palm St Ste M2, Ventura, CA 93001-2429 2020-04-28
1013547157 Tracey St Johns Marriage & Family Therapist 260 Maple Ct Ste 228, Ventura, CA 93003-3516 2020-01-16
1366081986 Jennifer Lynn Bartlett Marriage & Family Therapist 107 Figueroa St Ste 6, Ventura, CA 93001-2756 2019-12-30
1316584162 Ria Redublo Marriage & Family Therapist 1010 Poli St Apt 3, Ventura, CA 93001-3081 2019-11-27
1447812920 Vonda Lozano Marriage & Family Therapist 260 Maple Ct Ste 127, Ventura, CA 93003-3537 2019-07-03
1376103838 Jacqueline Faith Moore Marriage & Family Therapist 5450 Ralston St Ste 101, Ventura, CA 93003-6042 2019-06-17
1942866132 Catherine Marie Jappe Marriage & Family Therapist 573 Sheridan Way, Ventura, CA 93001-1852 2019-05-14
1205309465 India Abigail Gonzalez Marriage & Family Therapist 8598 Eureka St, Ventura, CA 93004-2143 2019-01-09
1427521152 Richard Durborow Marriage & Family Therapist 1168 Sandpoint Ln, Ventura, CA 93004-2880 2019-01-04
Find all providers in VENTURA

Competitor

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City VENTURA
Zip Code 93003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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