Active NPI
Robert M. Carriger, M.F.T.
- Marriage & Family Therapist
- Petaluma, CA
National Provider Identifier
1164583399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 35011
- Practice address
- 3900 Lakeville Hwy
Kaiser Permanente
Petaluma, CA 94954-5698 - Phone
- (707) 765-3586
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 | MFC 35011 | CA | Primary |
Addresses
Primary practice location
3900 Lakeville Hwy
Kaiser Permanente
Petaluma, CA 94954-5698
Mailing address
3900 Lakeville Highway
Kaiser Permanente,
Petaluma, CA 94954
Phone (707) 765-3586
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
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 35011 | CA | MD | Marriage & Family Therapist |
| 35011 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1164583399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 LAKEVILLE HIGHWAY",
"address_2": "KAISER PERMANENTE,",
"city": "PETALUMA",
"state": "CA",
"postal_code": "94954",
"telephone_number": "707-765-3586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 LAKEVILLE HWY",
"address_2": "KAISER PERMANENTE",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949545698",
"telephone_number": "707-765-3586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRIGER",
"first_name": "ROBERT",
"middle_name": "M.",
"credential": "M.F.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 35011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.