Individual provider Active NPI

Donna Lisbeth Hirschfield, MFT

  • Marriage & Family Therapist
  • Davis, CA
National Provider Identifier
1508981192
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 41276 Issued in CA
Practice address
1260 Lake Blvd
Suite #239
Davis, CA 95616-2614
Phone
(530) 756-5313
Fax
(530) 756-5313
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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 41276 CA Primary

Addresses

Primary practice location

1260 Lake Blvd
Suite #239
Davis, CA 95616-2614

Mailing address

1260 Lake Blvd
Suite # 239
Davis, CA 95616-2614
Phone (530) 756-5313

Other identifiers 1

IdentifierTypeStateIssuer
358838OtherCAPIN#

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 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 41276CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1508981192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 LAKE BLVD",
            "address_2": "SUITE # 239",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162614",
            "telephone_number": "530-756-5313",
            "fax_number": "530-756-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 LAKE BLVD",
            "address_2": "SUITE #239",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162614",
            "telephone_number": "530-756-5313",
            "fax_number": "530-756-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHFIELD",
        "first_name": "DONNA",
        "middle_name": "LISBETH",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN#",
            "identifier": "358838",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.