IndividualActive
Jane Van Wagoner, MFT
NPI 1972728657 · Marriage & Family Therapist · Fullerton, CA
Provider details
- NPI number
- 1972728657
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MFT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MR022526 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1370 Brea Blvd Ste 120
Fullerton, CA 92835-4123
Phone: (714) 738-1733
Fax: (714) 996-1013
Street-level locationGet directions
Mailing address
1370 Brea Blvd Ste 120
Fullerton, CA 92835-4123
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.