Individual provider Active NPI

Jerri Lynne Frank, PHD MFT

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1487767893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC29033 Issued in CA
Practice address
141 Duesenberg Drive
Suite 2
Thousand Oaks, CA 91362
Phone
(805) 374-0446
Fax
(805) 497-4647
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC29033 CA Primary

Addresses

Primary practice location

141 Duesenberg Drive
Suite 2
Thousand Oaks, CA 91362

Mailing address

141 Duesenberg Drive
#2
Thousand Oaks, CA 91362
Phone (805) 374-0446

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC29033CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487767893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 DUESENBERG DRIVE",
            "address_2": "#2",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-374-0446",
            "fax_number": "805-497-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DUESENBERG DRIVE",
            "address_2": "SUITE 2",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-374-0446",
            "fax_number": "805-497-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "JERRI",
        "middle_name": "LYNNE",
        "credential": "PHD MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC29033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.