# JEREMY HARVEY MARRIAGE AND FAMILY THERAPIST PROFESSIONAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376005595
- **Authorized official:** HARVEY JEREMY (PRESIDENT)
- **Authorized official phone:** (949) 945-4364

## Contact information

- **Practice address:** 260 NEWPORT CENTER DR STE 101, NEWPORT BEACH, CA 92660-7520
- **Practice address phone:** (949) 945-4364
- **Mailing address:** 51 VIA AMANTI, NEWPORT COAST, CA 92657-1124
- **Mailing address phone:** (949) 945-4364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/05/2019
- **Last updated:** 02/11/2025