Charlotte Adams, MFT INTERN

Key facts

NPI

1619084043

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

IMF47052 (CA)

Practice address

3307 Broadway Ste 200
Sacramento, CA 95817-2821

Phone

(916) 454-4242

Fax

(916) 454-2930

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619084043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MARSH WREN WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578185",
            "telephone_number": "916-685-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 BROADWAY STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172821",
            "telephone_number": "916-454-4242",
            "fax_number": "916-454-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CHARLOTTE",
        "name_prefix": "Ms.",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF47052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

• Alline Elizabeth Adams
• Allyson Rose Adams
• Anne Adams
• Blaise C Adams
• Candace Adams, P.H.D. (M.D)
• Chelsea Lynn Adams, DPT
• Chris Adams, COUNSELOR
• Christopher A Adams
• Christopher Bell Adams, PHARMD
• Curtis Todd Adams, MD

All providers in Sacramento, CA · Marriage & Family Therapist in California