NEWPORT BEACH TRAUMA THERAPY, INC
NPI 1902488208
Marriage & Family Therapist in Newport Beach, CA

Active since April 26, 2021
260 NEWPORT CENTER DR STE 206, NEWPORT BEACH, CA 92660(949) 545-8684 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2021, Apr 26, 2021 (2 updates tracked since 2021).

About Newport Beach Trauma Therapy, Inc NPPES

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

NEWPORT BEACH TRAUMA THERAPY, INC (NPI 1902488208) is a healthcare organization registered as a marriage & family therapist in Newport Beach, California and active in the NPI registry since April 2021. The organization lists Shavvonne Walls, Ceo, as its authorized official.Information from the official NPPES registry record, last updated August 12, 2021.

NPPES Registry Identity

NPI1902488208
Entity TypeOrganization
Legal Business NameNEWPORT BEACH TRAUMA THERAPY, INC
Location Address260 NEWPORT CENTER DR STE 206Newport Beach, CA 92660-7520
Mailing Address260 Newport Center Dr Ste 206Newport Beach, CA 92660-7520 · (949) 545-8684
Organization SubpartNo
Authorized OfficialShavvonne WallsCeo · (714) 457-7157
Enumeration DateApril 26, 2021
Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
NPI 1902488208 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Marriage & Family Therapist

Taxonomy 106H00000X · Behavioral Health & Social Service Providers

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… Show more

Also Listed

Counselor · Mental Health

Taxonomy 101YM0800X · Behavioral Health & Social Service Providers

Also Listed

Counselor · Professional

Taxonomy 101YP2500X · Behavioral Health & Social Service Providers

260 NEWPORT CENTER DR STE 206, Newport Beach, CA 92660

Also on File with NPPES

Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
260 NEWPORT CENTER DR STE 206
NEWPORT BEACH, CA 92660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902488208, enumerated as an "organization" on April 26, 2021.

The provider is located at 260 NEWPORT CENTER DR STE 206 NEWPORT BEACH, CA 92660 and the phone number is (949) 545-8684.

Marriage & Family Therapist with taxonomy code 106H00000X.