Individual provider Active NPI

Camden Webb, LMFT

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1508285149
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 52874 Issued in CA
Practice address
2460 Clay Bank Rd BLDG 8
Fairfield, CA 94533-1655
Phone
(707) 399-4807
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 MFC 52874 CA Primary

Addresses

Primary practice location

2460 Clay Bank Rd BLDG 8
Fairfield, CA 94533-1655

Mailing address

2460 Clay Bank Rd BLDG 2
Fairfield, CA 94533-1655
Phone (707) 399-4807

Other practice location 1

333 1st St
Benicia, CA 94510-3258
Phone (707) 400-0712

Other practice location 2

5100 Business Center Dr
Fairfield, CA 94534-1658
Phone (707) 399-4807

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

State licenses

LicenseStateTypeSpecialty
MFC 52874CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solano County Superintendent of Schools CurrentSince Mar 7, 2021 Accepting new patients

Locations

2460 Clay Bank Rd
Bldg 8
Fairfield, CA 94533
Phone (707) 399-4491

5100 Business Center Dr
Fairfield, CA 94534
Phone (707) 399-4419

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1508285149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 CLAY BANK RD BLDG 2",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331655",
            "telephone_number": "707-399-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CLAY BANK RD BLDG 8",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331655",
            "telephone_number": "707-399-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 1st St",
            "address_purpose": "LOCATION",
            "city": "Benicia",
            "state": "CA",
            "postal_code": "945103258",
            "country_code": "US",
            "telephone_number": "707-400-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945341658",
            "country_code": "US",
            "telephone_number": "707-399-4807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "CAMDEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2023-03-29",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 52874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.