Misty Merrifield

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

110302 Issued in CA

Practice address

10524 Spenceville Rd
Penn Valley, CA 95946-9623

Phone

(619) 876-4502

Fax

(530) 615-5156

NPI assigned

Mar 4, 2021

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1497340079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 TAOS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174531",
            "telephone_number": "619-876-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 SPENCEVILLE RD",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469623",
            "telephone_number": "619-876-4502",
            "fax_number": "530-615-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIFIELD",
        "first_name": "MISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Lernhardt, MD
• Claire H Leve, MD
• Anne M Lucq
• Donald Wayne Magnuson, DDS
• Edward L Meeker, PH.D
• Robert Edward Millington, D.D.S.
• Ursula M Monroe, L. AC
• Joyce L Moore, ATC/PTA
• Brian Moreau
• Wendy Sue Nelsen

• Marriage & Family Therapist in Penn Valley, CA
• Providers in Penn Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.