Active NPI
Judith L Frendo, M.F.T.
- Marriage & Family Therapist
- Vacaville, CA
National Provider Identifier
1295776334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC24909
- Practice address
- 419 Mason St Ste 206B
Vacaville, CA 95688-4535 - Phone
- (707) 365-2831
- NPI assigned
- Jun 9, 2006
- 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 | MFC24909 | CA | Primary |
Addresses
Primary practice location
419 Mason St Ste 206B
Vacaville, CA 95688-4535
Mailing address
419 Mason St Ste 206B
Vacaville, CA 95688-4535
Phone (707) 365-2831
Other practice location 1
918 Merchant St
Vacaville, CA 95688-5316
Phone (707) 398-6339
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 |
|---|---|---|---|
| MFC24909 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1295776334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 MASON ST STE 206B",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884535",
"telephone_number": "707-365-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 MASON ST STE 206B",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884535",
"telephone_number": "707-365-2831"
}
],
"practiceLocations": [
{
"address_1": "918 Merchant St",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956885316",
"country_code": "US",
"telephone_number": "707-398-6339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRENDO",
"first_name": "JUDITH",
"middle_name": "L",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC24909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.