Active NPI
Patricia T Hromalik, LMFT #89207
- Marriage & Family Therapist
- Petaluma, CA
National Provider Identifier
1598103145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 89207
- Practice address
- 720 Southpoint Blvd
Suite 212B
Petaluma, CA 94954-7495 - Phone
- (707) 892-0774
- NPI assigned
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 78949 | CA | |
| Marriage & Family Therapist | 106H00000X | 89207 | CA | Primary |
Addresses
Primary practice location
720 Southpoint Blvd
Suite 212B
Petaluma, CA 94954-7495
Mailing address
720 Southpoint Blvd
Suite 212B
Petaluma, CA 94954-7495
Phone (707) 892-0774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 78949 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1598103145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 SOUTHPOINT BLVD",
"address_2": "SUITE 212B",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949547495",
"telephone_number": "707-892-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 SOUTHPOINT BLVD",
"address_2": "SUITE 212B",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949547495",
"telephone_number": "707-892-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HROMALIK",
"first_name": "PATRICIA",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "LMFT #89207",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-05",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 78949",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "89207",
"primary": true
}
],
"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 Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.