Individual provider Active NPI

Sharon Marie Norman, MFT

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1275737603
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 30196 Issued in CA
Practice address
1600 S Main St
#290
Walnut Creek, CA 94596-5340
Phone
(925) 935-4988
Fax
(925) 944-7005
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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 MFC 30196 CA Primary

Addresses

Primary practice location

1600 S Main St
#290
Walnut Creek, CA 94596-5340

Mailing address

1600 S Main St
#290
Walnut Creek, CA 94596-5340
Phone (925) 935-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 30196CAMDMarriage & Family Therapist
30196CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1275737603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S MAIN ST",
            "address_2": "#290",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965340",
            "telephone_number": "925-935-4988",
            "fax_number": "925-944-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S MAIN ST",
            "address_2": "#290",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965340",
            "telephone_number": "925-935-4988",
            "fax_number": "925-944-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 30196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.