Debra Joann Evans Gernandt, 50395 MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

50395 MFT Issued in CA

Practice address

30240 Highway 78
Santa Ysabel, CA 92070

Phone

(760) 765-3578

Fax

(760) 765-2810

NPI assigned

Mar 13, 2007

Last updated

Aug 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1538292115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "SANTA YSABEL",
            "state": "CA",
            "postal_code": "920700231",
            "telephone_number": "760-765-3578",
            "fax_number": "760-765-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30240 HIGHWAY 78",
            "city": "SANTA YSABEL",
            "state": "CA",
            "postal_code": "92070",
            "telephone_number": "760-765-3578",
            "fax_number": "760-765-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNANDT",
        "first_name": "DEBRA",
        "middle_name": "JOANN EVANS",
        "credential": "50395 MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50395",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50395 MFT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ihc Santa Ysabel Pharmacy
• Indian Health Council, Inc.
• Santa Ysabel Social Service

• Marriage & Family Therapist in Santa Ysabel, CA
• Providers in Santa Ysabel, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.