Individual provider Active NPI

Tom Orrock, MFT

  • Marriage & Family Therapist
  • Elk Grove, CA
National Provider Identifier
1053402636
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC32858 Issued in CA
Practice address
8841 Williamson Dr Ste 40
Elk Grove, CA 95624-1800
Phone
(916) 685-5258
Fax
(530) 622-2793
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC32858 CA Primary

Addresses

Primary practice location

8841 Williamson Dr Ste 40
Elk Grove, CA 95624-1800

Mailing address

PO Box 1713
Elk Grove, CA 95759-1713
Phone (916) 685-5258

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

LicenseStateTypeSpecialty
MFC32858CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053402636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1713",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957591713",
            "telephone_number": "916-685-5258",
            "fax_number": "530-622-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 WILLIAMSON DR STE 40",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241800",
            "telephone_number": "916-685-5258",
            "fax_number": "530-622-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORROCK",
        "first_name": "TOM",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC32858",
            "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 Jul 8, 2007; 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.