Active NPI
Debra Halliday, M.A., MFT, SEP
- Marriage & Family Therapist
- Lafayette, CA
National Provider Identifier
1326199415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC46000
- Practice address
- 3468 Mt Diablo Blvd Ste B201
Lafayette, CA 94549-3959 - Phone
- (925) 286-4415
- Fax
- (925) 284-1599
- NPI assigned
- Jan 15, 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 | MFC46000 | CA | Primary |
Addresses
Primary practice location
3468 Mt Diablo Blvd Ste B201
Lafayette, CA 94549-3959
Mailing address
PO Box 233
Alamo, CA 94507-0233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC46000 | CA | MD | Marriage & Family Therapist |
| 46000 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1326199415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 233",
"city": "ALAMO",
"state": "CA",
"postal_code": "945070233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3468 MT DIABLO BLVD STE B201",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945493959",
"telephone_number": "925-286-4415",
"fax_number": "925-284-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIDAY",
"first_name": "DEBRA",
"name_prefix": "Ms.",
"credential": "M.A., MFT, SEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC46000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.