Active NPI
Linda L Recuparo, M.A.
- Marriage & Family Therapist
- Lodi, CA
National Provider Identifier
1215158134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF46285
- Practice address
- 12755 N Highway 88
Lodi, CA 95240-9323 - Phone
- (209) 340-5800
- Fax
- (209) 340-5804
- NPI assigned
- May 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF46285 | CA | Primary |
Addresses
Primary practice location
12755 N Highway 88
Lodi, CA 95240-9323
Mailing address
811 William Moss Blvd
Stockton, CA 95206-5243
Phone (209) 983-0471
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF46285 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor Treatment Centers, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Lodi, CA
- NPI 1861551715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215158134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 WILLIAM MOSS BLVD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952065243",
"telephone_number": "209-983-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12755 N HIGHWAY 88",
"city": "LODI",
"state": "CA",
"postal_code": "952409323",
"telephone_number": "209-340-5800",
"fax_number": "209-340-5804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECUPARO",
"first_name": "LINDA",
"middle_name": "L",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF46285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
- Thraya Rashid, PHARMD
- Jay Ratilal, M.D.
- Aamenah Ravaid
- Lingamurthy Ravi, M.D.
- Jordan Micheal Raya, D.P.T
- Katherine Redmond-Larimer, FNP
- Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation (Kids Care Dental & Orthodontics - Lodi Ortho)
- Reeves, DDS and Lavalley, DDS, a Dental Corporation (Kids Care Dental & Orthodontics - Lodi)
- Renal Treatment Centers California Inc (Tokay Dialysis Center)
- Renal Treatment Centers California Inc (Tokay Home Dialysis Center)
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.