Norman Bowers, MFT

Individual provider Active NPI Marriage & Family Therapist · Mount Shasta, CA

NPI 1497895437 · NPPES record last updated Mar 13, 2008

Key facts

NPI
1497895437
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
22770 (CA)
Practice address
1107 Ream Ave
Mount Shasta, CA 96067-9768
Phone
(530) 926-1436
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22770CAMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 22770 CA Yes

Addresses

Primary practice location

1107 Ream Ave
Mount Shasta, CA 96067-9768

Mailing address

1107 Ream Ave
Mount Shasta, CA 96067-9768
Phone (530) 926-1436

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2008.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1497895437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 REAM AVE",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679768",
            "telephone_number": "530-926-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 REAM AVE",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679768",
            "telephone_number": "530-926-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "NORMAN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "22770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Shasta, CA

All providers in Mount Shasta, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.