Organization Active NPI

Nancy M Outka LMFT

  • Marriage & Family Therapist
  • Fremont, CA
National Provider Identifier
1629402318
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC42395 Issued in CA
Legal business name
NANCY M OUTKA LMFT
Practice address
39111 Paseo Padre Parkway
Suite 203C
Fremont, CA 94538-1694
Phone
(510) 505-9858
Fax
(510) 505-9858
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Nancy M Outka, LMFTNPI 1952501025
Title
Marriage Family Therapist
Phone
(510) 657-7342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC42395 CA Primary

Addresses

Primary practice location

39111 Paseo Padre Parkway
Suite 203C
Fremont, CA 94538-1694

Mailing address

PO Box 2102
Fremont, CA 94536-0102
Phone (510) 505-9858

National Provider Directory

National Provider Directory

Locations

39111 Paseo Padre Pkwy
Ste 203C
Fremont, CA 94538
Phone (510) 505-9858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1629402318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2102",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945360102",
            "telephone_number": "510-505-9858",
            "fax_number": "510-505-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39111 PASEO PADRE PARKWAY",
            "address_2": "SUITE 203C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381694",
            "telephone_number": "510-505-9858",
            "fax_number": "510-505-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY M OUTKA LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "OUTKA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "510-657-7342",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.