Active NPI
John Francis Eby Jr., MFT
- Marriage & Family Therapist
- Nevada City, CA
National Provider Identifier
1164542411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC34808
- Practice address
- 411 Coyote St
Nevada City, CA 95959-2230 - Phone
- (530) 265-1956
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC34808 | CA | Primary |
Addresses
Primary practice location
411 Coyote St
Nevada City, CA 95959-2230
Mailing address
PO Box 1094
Nevada City, CA 95959-1094
Phone (530) 265-1956
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240102002047 | CA | Practitioner - Marriage and Family Therapist | 0840640900 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34808 | CA | MD | Psychologist |
| MFC34808 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Sierra Medical Clinic, Inc. | Current | Accepting new patients | |
| Western Sierra Medical Clinic, Inc. | Current | Accepting new patients | |
| Western Sierra Medical Clinic, Inc. | Current | Accepting new patients |
Locations
3257 Professional Dr
Ste C
Auburn, CA 95602
Phone (530) 802-0601
1345 Whispering Pines Ln
Grass Valley, CA 95945
Phone (530) 265-7895
844 Old Tunnel Rd
Grass Valley, CA 95945
Phone (530) 273-4984
Interoperability endpoints
- john.eby@wsmc1.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Grass Valley, CA
- NPI 1063496396
-
- Federally Qualified Health Center (FQHC)
- Oregon House, CA
- NPI 1780463257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164542411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1094",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959591094",
"telephone_number": "530-265-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 COYOTE ST",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592230",
"telephone_number": "530-265-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBY",
"first_name": "JOHN",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC34808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.