Individual provider Active NPI

Marjorie Buchholz-Castronova, M.S.

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1194931600
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0832 Issued in NV
Practice address
1790 W Park Ave Ste 200
Redlands, CA 92373-3112
Phone
(909) 558-9556
NPI assigned
May 14, 2007
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 116112 CA
Marriage & Family Therapist 106H00000X 0832 NV Primary

Addresses

Primary practice location

1790 W Park Ave Ste 200
Redlands, CA 92373-3112

Mailing address

1092 Moonlit Oasis LN Unit 103
Henderson, NV 89002-0625
Phone (170) 248-0417

Other practice location 1

522 East Lake Mead
Henderson, NV 89015-5015
Phone (702) 480-4171

Other names 1

  • Marjorie Buchholz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
116112CAMDClinical Social Worker
0832NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1194931600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 MOONLIT OASIS LN UNIT 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890020625",
            "telephone_number": "170-248-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 W PARK AVE STE 200",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733112",
            "telephone_number": "909-558-9556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 East Lake Mead",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890155015",
            "country_code": "US",
            "telephone_number": "702-480-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHHOLZ-CASTRONOVA",
        "first_name": "MARJORIE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116112",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "BUCHHOLZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.