Individual provider Active NPI

Emily Caruthers, MFT

  • Marriage & Family Therapist
  • Palo Alto, CA
National Provider Identifier
1366711533
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44947 Issued in CA
Practice address
220 California Ave Ste 105
Palo Alto, CA 94306-1627
Phone
(650) 319-7225
Fax
(650) 618-5556
NPI assigned
Dec 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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 44947 CA Primary

Addresses

Primary practice location

220 California Ave Ste 105
Palo Alto, CA 94306-1627

Mailing address

220 California Ave Ste 105
Palo Alto, CA 94306-1627
Phone (650) 319-7225

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Peninsula Eating Disorder Clinic, a Marriage and Family Therapy Co Marriage & Family Therapist CurrentSince Nov 1, 2020 Accepting new patients
Sunol Hills LLC Marriage & Family Therapist PastSince Jul 1, 2022 Accepting new patients

Locations

220 California Ave
Ste 100
Palo Alto, CA 94306
Phone (510) 895-8912

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1366711533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA AVE STE 105",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061627",
            "telephone_number": "650-319-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA AVE STE 105",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061627",
            "telephone_number": "650-319-7225",
            "fax_number": "650-618-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUTHERS",
        "first_name": "EMILY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-18",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.