Active NPI
Jeannine Joyce Ray, LMFT
- Marriage & Family Therapist
- American Canyon, CA
National Provider Identifier
1003987843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 77516
- Practice address
- 229 Newbury Way
American Canyon, CA 94503-4228 - Phone
- (707) 881-7570
- Fax
- (707) 648-0393
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 77516 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | F1100006 | OH |
Addresses
Primary practice location
229 Newbury Way
American Canyon, CA 94503-4228
Mailing address
229 Newbury Way
American Canyon, CA 94503-4228
Phone (707) 881-7570
Other names 1
- Jeannine J Emadi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1100006 | OH | MD | Marriage & Family Therapist |
| 77516 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McGrew Behavioral Health Services, Inc. | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- American Canyon, CA
- NPI 1689191595
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391212800000",
"number": "1003987843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 NEWBURY WAY",
"city": "AMERICAN CANYON",
"state": "CA",
"postal_code": "945034228",
"telephone_number": "707-881-7570",
"fax_number": "707-648-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 NEWBURY WAY",
"city": "AMERICAN CANYON",
"state": "CA",
"postal_code": "945034228",
"telephone_number": "707-881-7570",
"fax_number": "707-648-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "JEANNINE",
"middle_name": "JOYCE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2014-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "77516",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F1100006",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNINE",
"last_name": "EMADI",
"middle_name": "J",
"credential": "PHD(C)",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in American Canyon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.