Individual provider Active NPI

Debra Ann Vickroy, MFT

  • Marriage & Family Therapist
  • Whittier, CA
National Provider Identifier
1366421315
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC16096 Issued in CA
Practice address
13006 Philadelphia St Ste 601
Whittier, CA 90601
Phone
(562) 696-7429
Fax
(562) 324-6848
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 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 MFC16096 CA Primary

Addresses

Primary practice location

13006 Philadelphia St Ste 601
Whittier, CA 90601

Mailing address

13006 Philadelphia St Ste 601
Whittier, CA 90601-4216
Phone (562) 696-7429

Other practice location 1

6536 Bright Ave
Whittier, CA 90601-4503
Phone (562) 696-7429 ext. 4

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211000520 CA Practitioner - Marriage and Family Therapist 8224568993 Practice locations: Whittier, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13006 Philadelphia St
Suite 602
Whittier, CA 90601-4217
Phone (562) 696-7429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC16096CAMDMarriage & Family Therapist
16096CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1366421315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13006 PHILADELPHIA ST STE 601",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014216",
            "telephone_number": "562-696-7429",
            "fax_number": "562-324-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13006 PHILADELPHIA ST STE 601",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90601",
            "telephone_number": "562-696-7429",
            "fax_number": "562-324-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6536 Bright Ave",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906014503",
            "country_code": "US",
            "telephone_number": "562-696-7429 x4",
            "fax_number": "626-398-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKROY",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC16096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.