Active NPI
Michael MC Donough
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1568604544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC29646
- Practice address
- 1380 Howard St FL 1
San Francisco, CA 94103-2638 - Phone
- (415) 255-3734
- Fax
- (415) 255-3629
- NPI assigned
- Apr 6, 2009
- Sex
- Male
- Sole proprietor
- No
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 | MFC29646 | CA | Primary |
Addresses
Primary practice location
1380 Howard St FL 1
San Francisco, CA 94103-2638
Mailing address
1380 Howard St FL 1
San Francisco, CA 94103-2638
Phone (415) 255-3734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC 29646 | Other | CA | MFT |
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 |
|---|---|---|---|
| MFC29646 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City & County of San Francisco | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Treatment Access Program
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1881185221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238976000000",
"number": "1568604544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 HOWARD ST FL 1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032638",
"telephone_number": "415-255-3734",
"fax_number": "415-255-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 HOWARD ST FL 1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032638",
"telephone_number": "415-255-3734",
"fax_number": "415-255-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MC DONOUGH",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-06",
"last_updated": "2009-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC29646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT",
"identifier": "MFC 29646",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.