Active NPI
Frank Cornell McDougald
- Marriage & Family Therapist
- Fairfield, CA
National Provider Identifier
1598829756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1745 Enterprise Dr BLDG 2
Suite I-64
Fairfield, CA 94533-5801 - Phone
- (707) 427-6640
- NPI assigned
- Dec 21, 2006
- 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 | Primary |
Addresses
Primary practice location
1745 Enterprise Dr BLDG 2
Suite I-64
Fairfield, CA 94533-5801
Mailing address
724 Delaware St
Apt 1
Fairfield, CA 94533-6245
Phone (707) 720-8904
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598829756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 DELAWARE ST",
"address_2": "APT 1",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945336245",
"telephone_number": "707-720-8904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 ENTERPRISE DR BLDG 2",
"address_2": "SUITE I-64",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335801",
"telephone_number": "707-427-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOUGALD",
"first_name": "FRANK",
"middle_name": "CORNELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.