Individual provider Active NPI

Ulrike Dettling, M.A., L.M.F.T.

  • Marriage & Family Therapist
  • Arlington, MA
National Provider Identifier
1447435631
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
251 Issued in MA
Practice address
366 Mass Ave
#304
Arlington, MA 02474-6733
Phone
(781) 648-9334
Fax
(781) 648-9334
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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 251 MA Primary

Addresses

Primary practice location

366 Mass Ave
#304
Arlington, MA 02474-6733

Mailing address

366 Mass Ave
#304
Arlington, MA 02474-6733
Phone (781) 648-9334

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
251MAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1447435631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 MASS AVE",
            "address_2": "#304",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024746733",
            "telephone_number": "781-648-9334",
            "fax_number": "781-648-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 MASS AVE",
            "address_2": "#304",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024746733",
            "telephone_number": "781-648-9334",
            "fax_number": "781-648-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTLING",
        "first_name": "ULRIKE",
        "name_prefix": "Ms.",
        "credential": "M.A., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.