Organization Active NPI

Erin Byous, MFT Licensed Marriage and Family Therapist

  • Adult Mental Health Clinic/Center
  • Petaluma, CA
National Provider Identifier
1558806372
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
90706 Issued in CA
Legal business name
ERIN BYOUS, MFT LICENSED MARRIAGE AND FAMILY THERAPIST
Practice address
205 Keller St Ste 202a
Petaluma, CA 94952-2878
Phone
(707) 338-0343
NPI assigned
Jan 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Erin Byous, MFTNPI 1104133016
Title
Therapist
Phone
(707) 338-0343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 90706 CA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 90706 CA

Addresses

Primary practice location

205 Keller St Ste 202a
Petaluma, CA 94952-2878

Mailing address

305 Hash CT
Petaluma, CA 94952-6117
Phone (707) 769-9980

National Provider Directory

National Provider Directory

Locations

205 Keller St
Ste 202A
Petaluma, CA 94952
Phone (707) 338-0343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1558806372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HASH CT",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949526117",
            "telephone_number": "707-769-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 KELLER ST STE 202A",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522878",
            "telephone_number": "707-338-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN BYOUS, MFT LICENSED MARRIAGE AND FAMILY THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "BYOUS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "707-338-0343",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "90706",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "90706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.