Individual provider Active NPI

Ellen R Obrien, M.A., MFT

  • Marriage & Family Therapist
  • Lancaster, CA
National Provider Identifier
1427189430
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC46615 Issued in CA
Practice address
44285 Lowtree Ave
Lancaster, CA 93534-4170
Phone
(661) 341-3900
Fax
(661) 341-3904
NPI assigned
Mar 8, 2007
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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 MFC46615 CA Primary

Addresses

Primary practice location

44285 Lowtree Ave
Lancaster, CA 93534-4170

Mailing address

43765 Brandon Thomas Way
Lancaster, CA 93536-1777
Phone (661) 733-0445

Other identifiers 1

IdentifierTypeStateIssuer
46615OtherCABBS

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC46615CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1427189430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43765 BRANDON THOMAS WAY",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361777",
            "telephone_number": "661-733-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44285 LOWTREE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344170",
            "telephone_number": "661-341-3900",
            "fax_number": "661-341-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "ELLEN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.A., MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "46615",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.