Individual provider Active NPI

Catherine M Hynes, M.A., M.S., LMFT

  • Marriage & Family Therapist
  • Upland, CA
National Provider Identifier
1144403874
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45113 Issued in CA
Practice address
869 N Euclid Ave
Upland, CA 91786-3973
Phone
(909) 985-0513
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X PUPIL PERSONNEL CRED CA
Marriage & Family Therapist 106H00000X 45113 CA Primary

Addresses

Primary practice location

869 N Euclid Ave
Upland, CA 91786-3973

Mailing address

869 N Euclid Ave
Upland, CA 91786-3973
Phone (909) 985-0513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126001434 CA Practitioner - Marriage and Family Therapist 7810340783 Practice locations: Upland, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2345 W Foothill Blvd
Suite 5
Upland, CA 91786-3579
Phone (909) 477-1834

2377 W Foothill Blvd
Suite 11
Upland, CA 91786-3584
Phone (909) 477-1834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
PUPIL PERSONNEL CREDCAMDSchool Counselor
45113CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1144403874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863973",
            "telephone_number": "909-985-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863973",
            "telephone_number": "909-985-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNES",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "credential": "M.A., M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "PUPIL PERSONNEL CRED",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.