Mary Clare Radford

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

107486 Issued in CA

Practice address

1430 Blue Oaks Blvd
Roseville, CA 95747-5155

Phone

(916) 529-3766

NPI assigned

Aug 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Clare Fortino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1144709155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 BLUE OAKS BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475155",
            "telephone_number": "916-529-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 BLUE OAKS BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475155",
            "telephone_number": "916-529-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADFORD",
        "first_name": "MARY",
        "middle_name": "CLARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FORTINO",
            "middle_name": "CLARE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evelyn Lizeth Quiroz Valladares
• R&R Physical Medicine and Rehabilitation Medical Clinic, Inc
• Alexander Rabinovich, MD, DDS
• Jeffery J. Rabinovitz, MD
• Rob S Rackwitz, PT
• Radiological Associates of Sacramento Medical Group
• Radiological Associates of Sacramento Medical Group
• Radiological Associates of Sacramento Medical Group
• Radiological Associates of Sacramento Medical Group
• Radiological Associates of Sacramento Medical Group

• Marriage & Family Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.