NPIMap

Organization Active NPI

Greenhouse Therapy

  • Marriage & Family Therapist
  • Elk Grove, CA
National Provider Identifier
1013377647
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53491 Issued in CA
Legal business name
GREENHOUSE THERAPY
Practice address
2358 Maritime Dr Ste 110
Elk Grove, CA 95758-3662
Phone
(916) 716-1795
Fax
(916) 685-6826
NPI assigned
Feb 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Kyle Glass, MFTNPI 1780718833
Title
Director
Phone
(916) 716-1795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 53491 CA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 53491 CA Primary

Addresses

Primary practice location

2358 Maritime Dr Ste 110
Elk Grove, CA 95758-3662

Mailing address

2358 Maritime Dr Ste 110
Elk Grove, CA 95758-3662
Phone (916) 716-1795

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1013377647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 MARITIME DR STE 110",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583662",
            "telephone_number": "916-716-1795",
            "fax_number": "916-685-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 MARITIME DR STE 110",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583662",
            "telephone_number": "916-716-1795",
            "fax_number": "916-685-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENHOUSE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-716-1795",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "53491",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.