Active NPI
Eileen R. Nemetz
- Marriage & Family Therapist
- Walnut Creek, CA
National Provider Identifier
1508013954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35790MFT
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35790MFT | CA | MD | Marriage & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.