Individual provider Active NPI

Alma Dunstan-McDaniel, MFT

  • Marriage & Family Therapist
  • San Anselmo, CA
National Provider Identifier
1205040102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 39522 Issued in CA
Practice address
44 Ash Ave.
San Anselmo, CA 94960-1480
Phone
(415) 460-5483
Fax
(415) 459-2740
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 39522 CA Primary

Addresses

Primary practice location

44 Ash Ave.
San Anselmo, CA 94960-1480

Mailing address

44 Ash Ave.
San Anselmo, CA 94960-1480
Phone (415) 460-5483

Other identifiers 1

IdentifierTypeStateIssuer
11701231OtherCACAQH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT 39522CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205040102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ASH AVE.",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601480",
            "telephone_number": "415-460-5483",
            "fax_number": "415-459-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ASH AVE.",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601480",
            "telephone_number": "415-460-5483",
            "fax_number": "415-459-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSTAN-MCDANIEL",
        "first_name": "ALMA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 39522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11701231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.