Individual provider Active NPI

Christopher Thomas Hubbard, LMFT

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1619610185
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
132251 Issued in CA
Practice address
40 Shearwater
Irvine, CA 92604-4684
Phone
(714) 603-9775
NPI assigned
Apr 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 132251 CA Primary

Addresses

Primary practice location

40 Shearwater
Irvine, CA 92604-4684

Mailing address

40 Shearwater
Irvine, CA 92604-4684
Phone (714) 603-9775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127003472 CA Practitioner - Marriage and Family Therapist 8527593516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

111 Deerwood Rd
Suite 200
San Ramon, CA 94583-4445
Phone (925) 270-4499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132251CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Attentive Cognitive and Mental Health Services Psychology Inc. CurrentSince Nov 25, 2024 Accepting new patients

Locations

111 Deerwood Rd
Ste 200
San Ramon, CA 94583
Phone (925) 270-4499

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1619610185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SHEARWATER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044684",
            "telephone_number": "714-603-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SHEARWATER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044684",
            "telephone_number": "714-603-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.