Theresa Mary Organo, M A , IMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

INTERN 47364 Issued in CA

Practice address

500 W Foster Rd
Santa Maria, CA 93455-3620

Phone

(805) 934-6385

Fax

(805) 934-6539

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Theresa Mary Hodgins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235203720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 SHIRLEY LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934553249",
            "telephone_number": "805-937-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W FOSTER RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934553620",
            "telephone_number": "805-934-6385",
            "fax_number": "805-934-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGANO",
        "first_name": "THERESA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "M A , IMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "INTERN 47364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT INTERN",
            "identifier": "47364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "HODGINS",
            "middle_name": "MARY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Marriage & Family Therapist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Marriage & Family Therapist in California

• 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.