Individual provider Active NPI

Marie Alice Hamrick, LMFT

  • Marriage & Family Therapist
  • Yucaipa, CA
National Provider Identifier
1184911679
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
12279 Custer St
Yucaipa, CA 92399-4450
Phone
(909) 553-9482
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 127343 CA
Health Educator 174H00000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

12279 Custer St
Yucaipa, CA 92399-4450

Mailing address

12279 Custer St
Yucaipa, CA 92399-4450
Phone (909) 553-9484

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
I20251125000599 CA Practitioner - Marriage and Family Therapist 6901398130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1695 N Sunrise Way
Palm Springs, CA 92262-3701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127343CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health Inc. Current Accepting new patients
Dap Health, Inc. CurrentSince Aug 11, 2025 Accepting new patients
Dap Health, Inc. CurrentSince Aug 11, 2025 Accepting new patients
The LGBT Community Center of the Desert PastSince Jul 24, 2022 Accepting new patients

Locations

133 W Main St
El Cajon, CA 92020
Phone (619) 401-0404

1695 N Sunrise Way
Ste 101
Palm Springs, CA 92262

1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370

Organizations & group practices 4

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1184911679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12279 CUSTER ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994450",
            "telephone_number": "909-553-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12279 CUSTER ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994450",
            "telephone_number": "909-553-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "MARIE",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "127343",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.