Active NPI
Center for Healing and Transformation
- Marriage & Family Therapist
- Ithaca, NY
National Provider Identifier
1104565803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- CENTER FOR HEALING AND TRANSFORMATION
- Practice address
- 222 Rachel Carson Way
Ithaca, NY 14850-8401 - Phone
- (415) 694-2201
- NPI assigned
- Jun 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Ellis, MFT
- Title
- Member
- Phone
- (415) 694-2201
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
222 Rachel Carson Way
Ithaca, NY 14850-8401
Mailing address
222 Rachel Carson Way
Ithaca, NY 14850-8401
Phone (415) 694-2201
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Berkeley, CA
- NPI 1801271853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654041600000",
"number": "1104565803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 RACHEL CARSON WAY",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508401",
"telephone_number": "415-694-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 RACHEL CARSON WAY",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508401",
"telephone_number": "415-694-2201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR HEALING AND TRANSFORMATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "415-694-2201",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.