Individual provider Active NPI

Patricia Monberger Schweitzer Souza, LMFT

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1578773875
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT110975 Issued in CA
Practice address
1030 Nevada St Ste 200
Redlands, CA 92374-2958
Phone
(909) 792-0747
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 80466 CA
Marriage & Family Therapist 106H00000X LMFT110975 CA Primary

Addresses

Primary practice location

1030 Nevada St Ste 200
Redlands, CA 92374-2958

Mailing address

PO Box 7369
Redlands, CA 92375-0369
Phone (909) 335-7067

Other practice location 1

34324 Yucaipa Blvd
Suite B
Yucaipa, CA 92399-2496
Phone (909) 790-1300

Other identifiers 2

IdentifierTypeStateIssuer
5499OtherCASIMON STAFF NUMBER
1578773875OtherCANPI

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

LicenseStateTypeSpecialty
IMF 80466CAMDMarriage & Family Therapist
LMFT110975CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Act Family Counseling Incorporated Marriage & Family Therapist Past Accepting new patients
South Coast Children's Society, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1578773875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7369",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923750369",
            "telephone_number": "909-335-7067",
            "fax_number": "909-792-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NEVADA ST STE 200",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742958",
            "telephone_number": "909-792-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34324 Yucaipa Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Yucaipa",
            "state": "CA",
            "postal_code": "923992496",
            "country_code": "US",
            "telephone_number": "909-790-1300",
            "fax_number": "909-797-9687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWEITZER SOUZA",
        "first_name": "PATRICIA",
        "middle_name": "MONBERGER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 80466",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT110975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMON STAFF NUMBER",
            "identifier": "5499",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578773875",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.