Active NPI
Debra Joyce Rundell, MFT
- Marriage & Family Therapist
- Lake Isabella, CA
National Provider Identifier
1285774547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 39299
- Practice address
- 5408 Lake Isabella Blvd.
Lake Isabella, CA 93240-2731 - Phone
- (760) 417-0309
- Fax
- (760) 379-3835
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MFC 39299 | CA | Primary |
Addresses
Primary practice location
5408 Lake Isabella Blvd.
Lake Isabella, CA 93240-2731
Mailing address
P.O. Box 154
Lake Isabella, CA 93240
Phone (760) 417-0309
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 |
|---|---|---|---|
| MFC 39299 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1285774547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 154",
"city": "LAKE ISABELLA",
"state": "CA",
"postal_code": "93240",
"telephone_number": "760-417-0309",
"fax_number": "760-379-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5408 LAKE ISABELLA BLVD.",
"city": "LAKE ISABELLA",
"state": "CA",
"postal_code": "932402731",
"telephone_number": "760-417-0309",
"fax_number": "760-379-3835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNDELL",
"first_name": "DEBRA",
"middle_name": "JOYCE",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 39299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Isabella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.