=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780758136
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHIAFERI GRIFFIN, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/19/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 30101 TOWN CENTER DR SUITE 207
-----------------------------------------------------
City | LAGUNA NIGUEL
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92677-5006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-495-5922
-----------------------------------------------------
Fax | 949-481-9908
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 30101 TOWN CENTER DR SUITE 207
-----------------------------------------------------
City | LAGUNA NIGUEL
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92677-5006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-495-5922
-----------------------------------------------------
Fax | 949-481-9908
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | ROSEMARY R CHIAFERI
-----------------------------------------------------
Credential | L.M.F.T.
-----------------------------------------------------
Telephone | 949-495-5922
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | MFC22633
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | LCS9776
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------