Individual provider Active NPI

John Francis Eby Jr., MFT

  • Marriage & Family Therapist
  • Nevada City, CA
National Provider Identifier
1164542411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34808 Issued in CA
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

Updated by the provider on Jul 8, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
34808CAMDPsychologist
MFC34808CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Sierra Medical Clinic, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Western Sierra Medical Clinic, Inc. CurrentSince Jan 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.