Individual provider Active NPI

Ayumi Yamada

  • Marriage & Family Therapist
  • Folsom, CA
National Provider Identifier
1306981626
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
50430 Issued in CA
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

Updated by the provider on Sep 11, 2018

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 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

LicenseStateTypeSpecialty
50430CAMDMarriage & 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.

Verify at the official NPI Registry.