Active NPI
Marybeth Nolan Waters, MFT
- Marriage & Family Therapist
- Half Moon Bay, CA
National Provider Identifier
1528381373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 44841
- Practice address
- 625 Miramontes St
Suite 202
Half Moon Bay, CA 94019-1942 - Phone
- (650) 924-3342
- Fax
- (650) 728-7695
- NPI assigned
- Mar 8, 2010
- 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 | 44841 | CA | Primary |
Addresses
Primary practice location
625 Miramontes St
Suite 202
Half Moon Bay, CA 94019-1942
Mailing address
PO Box 36
Moss Beach, CA 94038-0036
Phone (650) 924-3342
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44841 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1528381373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36",
"city": "MOSS BEACH",
"state": "CA",
"postal_code": "940380036",
"telephone_number": "650-924-3342",
"fax_number": "650-728-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 MIRAMONTES ST",
"address_2": "SUITE 202",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940191942",
"telephone_number": "650-924-3342",
"fax_number": "650-728-7695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "MARYBETH",
"middle_name": "NOLAN",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "44841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Half Moon Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.