Ron Gilbert Marrujo, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0781 Issued in NV

Practice address

1490 Grimes St
Fallon, NV 89406-3103

Phone

(775) 426-8219

Fax

(775) 423-4054

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Churchill Council on Alcohol & Other Drugs

  dba New Frontier

  • Community/Behavioral Health Agency
  • Fallon, NV
  • NPI 1346788411
  NPD
• Churchill Council on Alcohol & Other Drugs

  dba New Frontier Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Fallon, NV
  • NPI 1578764361
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1619093200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 CONIFER DR",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062888",
            "telephone_number": "775-426-8219",
            "fax_number": "775-423-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 GRIMES ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063103",
            "telephone_number": "775-426-8219",
            "fax_number": "775-423-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRUJO",
        "first_name": "RON",
        "middle_name": "GILBERT",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidur Siddhanth Mahadeva, M.D.
• Matthew Manalili, PT, DPT
• Michaelia Rae Manzini
• Isaac Mardis
• John C. Marinucci, DDS
• Emily Martin, RN
• Elizabeth Lee Martindale, PHARM.D
• Catherine Cecelia Masci
• Tammy Mason
• Natalie Matley Keeney, FNP

• Marriage & Family Therapist in Fallon, NV
• Providers in Fallon, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.