Active NPI
Lawrence Michael Tunis, ED.D.
- Marriage & Family Therapist
- Vallejo, CA
National Provider Identifier
1609938265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC47576
- Practice address
- 146 Ranier Ave
Vallejo, CA 94589-1846 - Phone
- (707) 553-5467
- NPI assigned
- Dec 13, 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 | MFC47576 | CA | Primary |
Addresses
Primary practice location
146 Ranier Ave
Vallejo, CA 94589-1846
Mailing address
146 Rainier Ave
Vallejo, CA 94589-1846
Phone (415) 847-3677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12256469 | Other | CA | KAISER PERMANENTE |
| 5548722 | Other | CA | METLIFE DENTAL |
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 |
|---|---|---|---|
| MFC47576 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290124800000",
"number": "1609938265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 RAINIER AVE",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945891846",
"telephone_number": "415-847-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 RANIER AVE",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945891846",
"telephone_number": "707-553-5467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNIS",
"first_name": "LAWRENCE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2010-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC47576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "12256469",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METLIFE DENTAL",
"identifier": "5548722",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.