NPIMap

Organization Active NPI

Kristen M. Boothe a Marriage and Family Corporation

  • Health Maintenance Organization
  • Fairfield, CA
National Provider Identifier
1396081626
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
KRISTEN M. BOOTHE A MARRIAGE AND FAMILY CORPORATION
Practice address
711 Jefferson St Ste 101
Fairfield, CA 94533-5561
Phone
(707) 428-7100
NPI assigned
Dec 13, 2012
Last updated
Dec 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Mrs. Kristen M Boothe
Title
Marriage and Family Therapist
Phone
(707) 428-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X CA Primary

Addresses

Primary practice location

711 Jefferson St Ste 101
Fairfield, CA 94533-5561

Mailing address

711 Jefferson St Ste 101
Fairfield, CA 94533-5561
Phone (707) 428-7100

Other names 1

  • Alternative Family Solutions Other name

National Provider Directory

National Provider Directory
Tax ID family
Alternative Family Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1396081626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 JEFFERSON ST STE 101",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335561",
            "telephone_number": "707-428-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 JEFFERSON ST STE 101",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335561",
            "telephone_number": "707-428-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN M. BOOTHE A MARRIAGE AND FAMILY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "707-428-7100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Family Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.