Angela Powell-Bulutoglu, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

903854 Issued in CA

Practice address

215 N San Mateo Dr Ste 5
San Mateo, CA 94401-2674

Phone

(707) 779-9132

NPI assigned

Jul 21, 2011

Last updated

Mar 15, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Directions Adolescent Services, Inc

  • Voluntary or Charitable Agency
  • Santa Rosa, CA
  • NPI 1588706790
  NPD (past)

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1568750784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1819",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949271819",
            "telephone_number": "707-585-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR STE 5",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012674",
            "telephone_number": "707-779-9132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 Diamond Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945205719",
            "country_code": "US",
            "telephone_number": "925-375-4506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL-BULUTOGLU",
        "first_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "903854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Postal, D.D.S.
• Manasa Potharaju
• Christian Potter, PPS
• Michelle Busch Potter, LMFT
• Tiffani Ledel Poulsen, PSYD
• Diana Crooks Powers, D.D.S.
• Thomas Jefferson Powers VI, DDS
• Milly Poz
• PPSS Health
• Mukund Jayant Prabakar, MD

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, 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 Mar 15, 2019; 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.