Organization Active NPI

Once Upon a Time Family Therapy Center

  • Marriage & Family Therapist
  • Grass Valley, CA
National Provider Identifier
1184288516
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ONCE UPON A TIME FAMILY THERAPY CENTER
Practice address
696 Whiting St
Grass Valley, CA 95945-7543
Phone
(530) 263-8995
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Shannon S O'Shea, LMFTNPI 1760849285
Title
Co-President
Phone
(530) 263-8995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

696 Whiting St
Grass Valley, CA 95945-7543

Mailing address

PO Box 2344
Grass Valley, CA 95945-2344
Phone (530) 264-6144

National Provider Directory

National Provider Directory

Locations

696 Whiting St
Grass Valley, CA 95945
Phone (503) 867-7229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1184288516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2344",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959452344",
            "telephone_number": "530-264-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 WHITING ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457543",
            "telephone_number": "530-263-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCE UPON A TIME FAMILY THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "O'SHEA",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "530-263-8995",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.