Organization Active NPI

Linda Robertson, Marriage & Family Therapist, Inc.

  • Marriage & Family Therapist
  • Rancho Mirage, CA
National Provider Identifier
1023473485
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44929 Issued in CA
Legal business name
LINDA ROBERTSON, MARRIAGE & FAMILY THERAPIST, INC.
Practice address
22 La Cerra Dr
Rancho Mirage, CA 92270-3809
Phone
(949) 697-9153
NPI assigned
Dec 29, 2015
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Linda Robertson, MFTNPI 1326220336
Title
President
Phone
(949) 697-9153

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 44929 CA Primary

Addresses

Primary practice location

22 La Cerra Dr
Rancho Mirage, CA 92270-3809

Mailing address

22 La Cerra Dr
Rancho Mirage, CA 92270-3809
Phone (949) 697-9153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318000297 CA Part B Supplier - Clinic/Group Practice 0143667832 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Mirage, CA

National Provider Directory

National Provider Directory

Locations

23421 S Pointe Dr
Ste 130
Laguna Hills, CA 92653
Phone (949) 376-1786

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1023473485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LA CERRA DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703809",
            "telephone_number": "949-697-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LA CERRA DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703809",
            "telephone_number": "949-697-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA ROBERTSON, MARRIAGE & FAMILY THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-697-9153",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.