JSR Family Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

JSR FAMILY THERAPY, INC.

Practice address

45445 Portola Ave Ste 2B
Palm Desert, CA 92260-4844

Phone

(760) 625-9092

NPI assigned

Apr 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie S Reynolds, LMFTNPI 1801075304

Title

Owner

Phone

(760) 625-9092

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Sly Reynolds, MFT

  • Marriage & Family Therapist
  • Palm Desert, CA
  • NPI 1801075304
  NPD Authorized official
• Lindsay Sammann, AMFT

  • Marriage & Family Therapist
  • Palm Desert, CA
  • NPI 1487502076
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1366296089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45445 PORTOLA AVE STE 2B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604844",
            "telephone_number": "760-625-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45445 PORTOLA AVE STE 2B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604844",
            "telephone_number": "760-625-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSR FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-625-9092",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.