Organization Active NPI

Gerry D. Blasingame

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1437467404
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC24816 Issued in CA
Legal business name
GERRY D. BLASINGAME
Practice address
3161 Bechelli LN
Redding, CA 96002-2053
Phone
(530) 222-9225
Fax
(530) 222-9227
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Gerry D Blasingame
Title
Owner
Phone
(530) 222-9225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC24816 CA Primary

Addresses

Primary practice location

3161 Bechelli LN
Redding, CA 96002-2053

Mailing address

3161 Bechelli LN
Redding, CA 96002-2053
Phone (530) 222-9225

National Provider Directory

National Provider Directory

Locations

3161 Bechelli Ln
Redding, CA 96002
Phone (530) 222-9225

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1437467404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 BECHELLI LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022053",
            "telephone_number": "530-222-9225",
            "fax_number": "530-222-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 BECHELLI LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022053",
            "telephone_number": "530-222-9225",
            "fax_number": "530-222-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERRY D. BLASINGAME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "BLASINGAME",
        "authorized_official_first_name": "GERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-222-9225"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC24816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.