Patricia Gullberg, MFT, RN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

19103 Issued in CA

Practice address

500 Foothill Dr
Op116
Salt Lake City, UT 84148-0001

Phone

(801) 582-1565

Fax

(801) 584-2544

NPI assigned

Apr 1, 2010

Last updated

Apr 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1518282508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL DR",
            "address_2": "OP116",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565",
            "fax_number": "801-584-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL DR",
            "address_2": "OP116",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565",
            "fax_number": "801-584-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLBERG",
        "first_name": "PATRICIA",
        "credential": "MFT, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "19103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE FAMILY THERAPIST",
            "identifier": "106H00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mya Guin
• Elizabeth Ann Guiney, CGC
• James L Guinn, D.M.D.
• Carolina Araujo Guitarrari, APRN
• Nageshwara R. Gullapalli, MBBS, MPH, MBA
• Kaitlin Gulley
• Mary Gully
• Matthew Gumbleton, M.D., PH.D.
• Alistair Gummow, MB BCHIR FRCR
• Bruce Van Gundersen, DC, FACO

• Marriage & Family Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.