TAI MADDOX LMFT
NPI 1063956670
Marriage & Family Therapist in Perris, CA

Q: What is Tai Maddox's NPI number?

The NPI number for Tai Maddox is 1063956670. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Q: What is Tai Maddox's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Tai Maddox was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2016

308 E SAN JACINTO AVE, PERRIS, CA 92570(951) 775-2493 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2020, Dec 15, 2016 (2 updates tracked since 2016).

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About Tai Maddox Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAI MADDOX LMFT (NPI 1063956670) is an individual marriage & family therapist in Perris, California, licensed in California (116079) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1063956670

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTAI MADDOXCredential: LMFT

Location Address308 E SAN JACINTO AVEPerris, CA 92570-2878

Mailing Address308 E San Jacinto AvePerris, CA 92570-2878

Phone(951) 775-2493

Sole ProprietorNo

Enumeration DateDecember 15, 2016

Last NPPES UpdateMay 28, 20202 updates tracked since enumeration

NPPES CertifiedMay 28, 2020

✔ NPI 1063956670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 116079

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.

308 E SAN JACINTO AVE, Perris, CA 92570

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA REGINA MCDERMOTT

Registered Nurse