Individual provider Active NPI

Eileen R. Nemetz

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1508013954
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35790MFT Issued in CA
Practice address
3075 Citrus Cir Ste 165
Walnut Creek, CA 94598
Phone
(925) 290-8773
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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 35790MFT CA Primary

Addresses

Primary practice location

3075 Citrus Cir Ste 165
Walnut Creek, CA 94598

Mailing address

3075 Citrus Cir Ste 165
Walnut Creek, CA 94598-2669
Phone (925) 290-8773

Other practice location 1

3000 Citrus Circle
Ste 112
Walnut Creek, CA 94598
Phone (925) 210-1414

Other practice location 2

3075 Citrus Cir Ste 165
Walnut Creek, CA 94598
Phone (925) 290-8773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 31, 2024 through Jan 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35790MFTCAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1508013954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 165",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982669",
            "telephone_number": "925-290-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 165",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-290-8773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Citrus Circle",
            "address_2": "Ste 112",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "94598",
            "country_code": "US",
            "telephone_number": "925-210-1414",
            "fax_number": "925-210-1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3075 Citrus Cir Ste 165",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "94598",
            "country_code": "US",
            "telephone_number": "925-290-8773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEMETZ",
        "first_name": "EILEEN",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "35790MFT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.