Active NPI
Ayumi Yamada
- Marriage & Family Therapist
- Folsom, CA
National Provider Identifier
1306981626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50430
- Practice address
- 193 Blue Ravine Rd Ste 220
Folsom, CA 95630-4759 - Phone
- (988) 553-1916
- NPI assigned
- Feb 21, 2007
- 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 | 50430 | CA | Primary |
Addresses
Primary practice location
193 Blue Ravine Rd Ste 220
Folsom, CA 95630-4759
Mailing address
193 Blue Ravine Rd Ste 220
Folsom, CA 95630-4759
Other practice location 1
7000 Franklin Blvd. Ste, 1230
Sacramento, CA 95823
Phone (916) 394-2010 ext. 35
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 |
|---|---|---|---|
| 50430 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1306981626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 BLUE RAVINE RD STE 220",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 BLUE RAVINE RD STE 220",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304759",
"telephone_number": "988-553-1916"
}
],
"practiceLocations": [
{
"address_1": "7000 Franklin Blvd. Ste, 1230",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95823",
"country_code": "US",
"telephone_number": "916-394-2010 x35",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAMADA",
"first_name": "AYUMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.