| Jeremy Harvey Marriage And Family Therapist Professional Corporation | |
|
260 Newport Center Dr Ste 101 Newport Beach CA 92660-7520 | |
| (949) 945-4364 | |
| Not Available |
| Full Name | Jeremy Harvey Marriage And Family Therapist Professional Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 260 Newport Center Dr Ste 101, Newport Beach, California |
| Authorized Official Name and Position | Harvey Jeremy (PRESIDENT) |
| Authorized Official Contact | 9499454364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Harvey Marriage And Family Therapist Professional Corporation 51 Via Amanti Newport Coast CA 92657-1124 Ph: (949) 945-4364 | Jeremy Harvey Marriage And Family Therapist Professional Corporation 260 Newport Center Dr Ste 101 Newport Beach CA 92660-7520 Ph: (949) 945-4364 |
| NPI Number | 1376005595 |
|---|---|
| Provider Enumeration Date | 04/05/2019 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Medicare PECOS PAC ID | 6002337862 |
|---|---|
| Medicare Enrollment ID | O20250310000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376005595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Jeremy M Harvey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962750307 PECOS PAC ID: 7810418670 Enrollment ID: I20250310001121 |
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