Mandy Michelle Greaves, PHD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

110569 Issued in CA

Practice address

550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857

Phone

(559) 795-5990

NPI assigned

Apr 26, 2024

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Couples and Marriage Counseling, Inc

  dba California Couples Counseing

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1114770955
  NPD
• Fresno Family Therapy

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1174016240
  NPD

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1629824966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936131329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W ALLUVIAL AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115857",
            "telephone_number": "559-795-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREAVES",
        "first_name": "MANDY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "110569",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Fresno Development Corp. (Wintons Professional Pharmacy)
• Greater Fresno Health Organization Inc. (North Marks Medical Clinic)
• Greater Fresno Health Organization, Inc. (Cedar University Clinic)
• Greater Fresno Health Organization, Inc. (Kings Winery Medical Clinic)
• Greater Fresno Health Orgnization, Inc. (Kings Winery Medicla Clinic)
• Robert E Greco, CO
• Green Sports Medicine Inc
• Adriel J Green, MD
• Alvin E Green, LCSW
• Anjanetta P Green, LCSW

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, 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 Apr 30, 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.