Active NPI
Ann M Ulibarri, LMFT
- Marriage & Family Therapist
- Vacaville, CA
National Provider Identifier
1205023371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC46583
- 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, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC46583 | CA | MD | Marriage & Family Therapist |
| 46583 | CA | MD | Dentist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.