BREANNA MICHELLE WYATT (NPI# 1871014985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871014985 |
| Entity Type | Individual |
| Full Name | BREANNA MICHELLE WYATT |
| Credential | AMFT |
| Practice Address |
14140 Beach Blvd Westminster CA 92683-4453 |
| Practice Telephone | 7149344600 |
| Mailing Telephone | 7149344600 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 108424 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9990 County Farm Rd Ste 5, Riverside, CA 925033542 | 9513584625 |
| Street Address |
14140 BEACH BLVD |
| City | WESTMINSTER |
| State | CA |
| Zip Code | 92683-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497847081 | Joan Cantor Backer | Marriage & Family Therapist | 14140 Beach Blvd, Westminster, CA 92683 | 2006-09-29 |
| 1053929737 | Chelsea Nunn | Social Worker | 14140 Beach Blvd, Westminster, CA 92683-4453 | 2020-07-17 |
| 1417587965 | Danny Hong | Counselor | 14140 Beach Blvd, Westminster, CA 92683-4453 | 2020-01-23 |
| 1518516806 | Ambar Xhante Gudino | Counselor | 14140 Beach Blvd, Suite 200 & 223, Westminster, CA 92683 | 2019-09-09 |
| 1194208702 | Heidy Consepcion Correa | Social Worker | 14140 Beach Blvd, Westminster, CA 92683-4453 | 2018-09-10 |
| 1386162493 | Lisette Mendez Montanez | Student in an Organized Health Care Education/Training Program | 14140 Beach Blvd, Westminster, CA 92683-4453 | 2017-09-08 |
| 1679090054 | Joshua Crosby | Counselor | 14140 Beach Blvd, Westminster, CA 92683 | 2017-08-25 |
| 1912430034 | Sherry Shahid | Community Health Worker | 14140 Beach Blvd, Westminster, CA 92683-4453 | 2017-04-05 |
| 1619417342 | Anthony Flores | Counselor | 14140 Beach Blvd, Suite #155, Westminster, CA 92683-4453 | 2017-02-28 |
| 1215484225 | Erin Joy Sagubo | Social Worker | 14140 Beach Blvd, Suite 223, Westminster, CA 92683-4453 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578050050 | Luna Dawn Garcia | Behavior Technician | 3950 Milton Ave Suite 200b, Westminster, CA 92683 | 2018-04-19 |
| 1912494899 | Sarah Martin | Behavior Technician | 13950 Milton Ave 220b, Westminster, CA 92683 | 2018-04-17 |
| 1952817314 | Emad Moawad Dental Corporation | Clinic/Center | 7631 Westminster Blvd. #a, Westminster, CA 92683 | 2017-12-21 |
| 1992216717 | Cornerstone Dentistry | Clinic/Center | 14120 Beach Blvd. #212, Westminster, CA 92683 | 2017-10-19 |
| 1306369566 | Nova Surgery Center, LLC | Surgery | 8331 Westminster Blvd Ste B, Westminster, CA 92683 | 2017-07-19 |
| 1619429693 | All Smiles Dental | Dentist | 9361 Bolsa Avenue, Suite #102, Westminster, CA 92683 | 2016-10-26 |
| 1265882856 | Anh Phuong Nguyen | Occupational Therapist | 15606 A Brookhurst St., Westminster, CA 92683 | 2016-06-15 |
| 1194192831 | Tuong Vi Thi Nguyen | Dentist | 16517 Magnolia Street, Westminster, CA 92683 | 2015-08-28 |
| 1366818767 | Hoai Albert Bui Jr. | Acupuncturist | 9561 Bolsa Ave, Westminster, CA 92683 | 2015-08-19 |
| 1245606698 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 8341 Westminster Blvd., Ste. 202, Westminster, CA 92683 | 2015-08-19 |
| Find all providers in zip 92683 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563562 | Jace Draper | Marriage & Family Therapist | 8281 Gumwood Cir, Westminster, CA 92683-6324 | 2020-06-24 |
| 1932736162 | Michaela L. Standhart | Marriage & Family Therapist | 12050 Pecos St Ste 170, Westminster, CO 80234-2015 | 2020-03-26 |
| 1104456714 | Catherine Kochman | Marriage & Family Therapist | 8774 Yates Dr # 345, Westminster, CO 80031-6958 | 2020-01-22 |
| 1801375019 | Neil Rosenthal | Marriage & Family Therapist | 8778 Wolff Ct Ste 202, Westminster, CO 80031-6901 | 2018-08-08 |
| 1417464967 | Susan Michelle Mannos | Marriage & Family Therapist | 6591 Sutton St, Westminster, CA 92683-2116 | 2018-01-05 |
| 1881135796 | Steele Family Counseling, LLC | Marriage & Family Therapist | 8778 Wolff Court, Suite 202, Westminster, CO 80031 | 2017-03-10 |
| 1447598461 | Julie Ha | Marriage & Family Therapist | 8892 Blackheath Cir, Westminster, CA 92683-6823 | 2013-01-25 |
| 1356618631 | Jennifer Elizabeth Gleizer | Marriage & Family Therapist | 16341 Venus Dr, Westminster, CA 92683-7733 | 2011-11-30 |
| 1568739456 | Joan Pearl Blank-malukas | Marriage & Family Therapist | 14261 Edwards St, Apt 12, Westminster, CA 92683-3675 | 2011-11-21 |
| 1285947531 | Linda Nu Kes | Marriage & Family Therapist | 6800 Westpark Pl, Apartment L, Westminster, CA 92683-3095 | 2010-07-15 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 92683 |
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| 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.