Deborah Sue Bates, LMFT

Individual provider Active NPI Marriage & Family Therapist · Aptos, CA

NPI 1487058616 · NPPES record last updated Oct 17, 2014

Key facts

NPI
1487058616
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC52996 (CA)
Practice address
3060 Valencia Ave
Suite 6
Aptos, CA 95003-4165
Phone
(831) 460-2550
Fax
(831) 688-1718
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 12, 2024 through Apr 12, 2028

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC52996CAMDMarriage & Family Therapist
52996CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates of Relational Resources Marriage & Family Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC52996 CA Yes

Addresses

Primary practice location

3060 Valencia Ave
Suite 6
Aptos, CA 95003-4165

Mailing address

3060 Valencia Ave
Suite 6
Aptos, CA 95003-4165
Phone (831) 460-2550

Other providers in Aptos, CA

All providers in Aptos, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.