Individual provider Active NPI

Douglas P Cyr, MFT, RDT

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1629103296
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43201 Issued in CA
Practice address
37 Quail CT
Suite 201
Walnut Creek, CA 94596-5592
Phone
(415) 595-0740
Fax
(855) 464-0770
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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 43201 CA Primary

Addresses

Primary practice location

37 Quail CT
Suite 201
Walnut Creek, CA 94596-5592

Mailing address

37 Quail CT
Ste 201
Walnut Creek, CA 94596-5592
Phone (415) 595-0740

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

LicenseStateTypeSpecialty
43201CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1629103296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 QUAIL CT",
            "address_2": "STE 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965592",
            "telephone_number": "415-595-0740",
            "fax_number": "855-464-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 QUAIL CT",
            "address_2": "SUITE 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965592",
            "telephone_number": "415-595-0740",
            "fax_number": "855-464-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "credential": "MFT, RDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.