Active NPI
Sharon R Sousa, MFC
- Marriage & Family Therapist
- Quincy, CA
National Provider Identifier
1104040021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 25857
- Practice address
- 270 County Hospital Rd Ste 109
Quincy, CA 95971-9126 - Phone
- (530) 283-6307
- Fax
- (530) 283-6045
- NPI assigned
- Apr 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 25857 | CA | Primary |
Addresses
Primary practice location
270 County Hospital Rd Ste 109
Quincy, CA 95971-9126
Mailing address
270 County Hospital Rd Ste 109
Quincy, CA 95971-9126
Phone (530) 283-6307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 25857 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104040021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 COUNTY HOSPITAL RD STE 109",
"city": "QUINCY",
"state": "CA",
"postal_code": "959719126",
"telephone_number": "530-283-6307",
"fax_number": "530-283-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 COUNTY HOSPITAL RD STE 109",
"city": "QUINCY",
"state": "CA",
"postal_code": "959719126",
"telephone_number": "530-283-6307",
"fax_number": "530-283-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUSA",
"first_name": "SHARON",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "MFC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 25857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.