Active NPI
Michael Schaefer, MFT
- Marriage & Family Therapist
- Norwalk, CA
National Provider Identifier
1316089006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 12440 Firestone Blvd
Suite 3025
Norwalk, CA 90650-4328 - Phone
- (562) 929-6688
- Fax
- (562) 929-3868
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT27493 | CA | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
12440 Firestone Blvd
Suite 3025
Norwalk, CA 90650-4328
Mailing address
12440 Firestone Blvd
# 3025
Norwalk, CA 90650
Phone (562) 929-6688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7250A | Other | CA | ACT 7 |
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 |
|---|---|---|---|
| MFT27493 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1316089006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12440 FIRESTONE BLVD",
"address_2": "# 3025",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-929-6688",
"fax_number": "562-929-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12440 FIRESTONE BLVD",
"address_2": "SUITE 3025",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504328",
"telephone_number": "562-929-6688",
"fax_number": "562-929-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "MICHAEL",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT27493",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACT 7",
"identifier": "7250A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.