Individual provider Active NPI

Diane C. Book, MFC

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1144475039
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45706 Issued in CA
Practice address
1100 W Shaw Ave
Suite #112
Fresno, CA 93711-3708
Phone
(559) 221-8874
Fax
(559) 222-5789
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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 45706 CA Primary

Addresses

Primary practice location

1100 W Shaw Ave
Suite #112
Fresno, CA 93711-3708

Mailing address

1100 W Shaw Ave
Suite#112
Fresno, CA 93711-3708
Phone (559) 221-8874

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 5, 2024 through Feb 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45706CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1144475039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W SHAW AVE",
            "address_2": "SUITE#112",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113708",
            "telephone_number": "559-221-8874",
            "fax_number": "559-222-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W SHAW AVE",
            "address_2": "SUITE #112",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113708",
            "telephone_number": "559-221-8874",
            "fax_number": "559-222-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOK",
        "first_name": "DIANE",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "MFC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.