Active NPI
Elijah Nella, LMFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1114250594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001313
- Practice address
- 110 Gough St Ste 402
San Francisco, CA 94102-5971 - Phone
- (415) 413-3339
- NPI assigned
- Sep 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001313 | NY | Primary |
| Marriage & Family Therapist | 106H00000X | 85401 | CA |
Addresses
Primary practice location
110 Gough St Ste 402
San Francisco, CA 94102-5971
Mailing address
22 Garden St
Suite 4
Rhinebeck, NY 12572-1300
Phone (845) 481-0036
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
| License | State | Type | Specialty |
|---|---|---|---|
| 85401 | CA | MD | Marriage & Family Therapist |
| 001313 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1114250594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 GARDEN ST",
"address_2": "SUITE 4",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125721300",
"telephone_number": "845-481-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 GOUGH ST STE 402",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941025971",
"telephone_number": "415-413-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELLA",
"first_name": "ELIJAH",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-16",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001313",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "85401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.