Phyllis A Ritter

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

52443 Issued in CA

Practice address

4343 Buckskin Dr
Antioch, CA 94531-7470

Phone

(925) 628-1641

Fax

(925) 706-7268

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• The Lighthouse Mentoring Center

  • Mental Illness Community Based Residential Treatment Facility
  • Antioch, CA
  • NPI 1386219954
  NPD Authorized official
• The Lighthouse Mentoring Center

  • Mental Illness Community Based Residential Treatment Facility
  • Pittsburg, CA
  • NPI 1518535392
  NPD (past) Authorized official
• The Lighthouse Mentoring Center

  • Mental Illness Community Based Residential Treatment Facility
  • Antioch, CA
  • NPI 1891361119
  NPD (past)
• The Lighthouse Mentoring Center

  • Mental Illness Community Based Residential Treatment Facility
  • Antioch, CA
  • NPI 1932774692
  NPD (past)

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1629642020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 853",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945650085",
            "telephone_number": "925-628-1641",
            "fax_number": "707-745-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 BUCKSKIN DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317470",
            "telephone_number": "925-628-1641",
            "fax_number": "925-706-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4438 Buckeye Way",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945319334",
            "country_code": "US",
            "telephone_number": "925-628-1641",
            "fax_number": "707-745-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Santa Cruz Ct",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "CA",
            "postal_code": "945652365",
            "country_code": "US",
            "telephone_number": "925-628-1641",
            "fax_number": "707-745-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Garden Ct",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945092865",
            "country_code": "US",
            "telephone_number": "925-628-1641",
            "fax_number": "707-745-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITTER",
        "first_name": "PHYLLIS",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Rider
• Marquisha Riley
• Zhaelyn Riley
• Elizabeth Rios-Perez
• Paola Rios
• Jake Rivas-Duke
• Loraine Y Rivas
• Yolanda Rivas
• Crystal Rivera
• Debra Lynn Rivera, MS, RD

• Marriage & Family Therapist in Antioch, CA
• Providers in Antioch, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.