Individual provider Active NPI

Ann M Ulibarri, LMFT

  • Marriage & Family Therapist
  • Vacaville, CA
National Provider Identifier
1205023371
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC46583 Issued in CA
Practice address
419 Elizabeth St
Vacaville, CA 95688-4602
Phone
(707) 494-2497
Fax
(720) 384-1480
NPI assigned
Oct 2, 2007
Last updated
Mar 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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 MFC46583 CA Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

419 Elizabeth St
Vacaville, CA 95688-4602

Mailing address

3373 Whitemarsh LN
Fairfield, CA 94534-7136
Phone (707) 494-2497

Medicare participation

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

LicenseStateTypeSpecialty
MFC46583CAMDMarriage & Family Therapist
46583CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1205023371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 WHITEMARSH LN",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347136",
            "telephone_number": "707-494-2497",
            "fax_number": "720-384-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ELIZABETH ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884602",
            "telephone_number": "707-494-2497",
            "fax_number": "720-384-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULIBARRI",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46583",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.