Active NPI
Roanld Gene Thurlow, PH.D. MFT
- Marriage & Family Therapist
- Oceanside, CA
National Provider Identifier
1639398548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 25189
- Practice address
- 4559 Stratford Cir
Oceanside, CA 92056-4905 - Phone
- (760) 842-7006
- Fax
- (760) 842-7006
- NPI assigned
- Apr 25, 2007
- Last updated
- Dec 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 25189 | CA | Primary |
Addresses
Primary practice location
4559 Stratford Cir
Oceanside, CA 92056-4905
Mailing address
4559 Stratford Cir
Oceanside, CA 92056-4905
Phone (760) 753-1150
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 25189 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1639398548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4559 STRATFORD CIR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564905",
"telephone_number": "760-753-1150",
"fax_number": "760-753-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4559 STRATFORD CIR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564905",
"telephone_number": "760-842-7006",
"fax_number": "760-842-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURLOW",
"first_name": "ROANLD",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "PH.D. MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 25189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Thrive Medical Specialists, a Professional Corporation
- Thrive Physical Medicine Inc
- Matalena Tili
- Demetra Me'Quan Tillar-Coachman, L.C.S.W.
- Linda I Tillotson, M.A.
- Stephen Paul del Rosario Tinio, M.D.
- Shaina Dawn Tiritilli, AMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.