Active NPI
Olivia Bowling
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1265840607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF88369
- Practice address
- 250 Executive Park Blvd
Suite 4900
San Francisco, CA 94134-3394 - Phone
- (510) 915-1120
- NPI assigned
- Jul 29, 2014
- 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 | IMF88369 | CA | Primary |
Addresses
Primary practice location
250 Executive Park Blvd
Suite 4900
San Francisco, CA 94134-3394
Mailing address
2240 Bay St Apt 106
San Francisco, CA 94123-1860
Phone (510) 915-1120
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF88369 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1265840607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 BAY ST APT 106",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941231860",
"telephone_number": "510-915-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 EXECUTIVE PARK BLVD",
"address_2": "SUITE 4900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941343394",
"telephone_number": "510-915-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLING",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF88369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.