Individual provider Active NPI

Charles Francis Palmieri

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1255821419
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT20961 Issued in CA
Practice address
1901 Orange Tree Lane
#250
Redlands, CA 92374-4564
Phone
(909) 307-1204
Fax
(909) 335-3598
NPI assigned
May 14, 2018
Last updated
May 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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 LMFT20961 CA Primary

Addresses

Primary practice location

1901 Orange Tree Lane
#250
Redlands, CA 92374-4564

Mailing address

1901 Orange Tree Lane #250
Redlands, CA 92374-4564
Phone (909) 030-7120

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
LMFT20961CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Act Family Counseling Incorporated Marriage & Family Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1255821419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ORANGE TREE LANE #250",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744564",
            "telephone_number": "909-030-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ORANGE TREE LANE",
            "address_2": "#250",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744564",
            "telephone_number": "909-307-1204",
            "fax_number": "909-335-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMIERI",
        "first_name": "CHARLES",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT20961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.