Active NPI
Christina Irizarry
- Marriage & Family Therapist
- Folsom, CA
National Provider Identifier
1639444524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 84788
- Practice address
- 2795 E Bidwell St # 100-506
Folsom, CA 95630-6480 - Phone
- (916) 932-8110
- NPI assigned
- Mar 12, 2012
- Last updated
- May 15, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 84788 | CA | Primary |
Addresses
Primary practice location
2795 E Bidwell St # 100-506
Folsom, CA 95630-6480
Mailing address
2795 E Bidwell St # 100-506
Folsom, CA 95630-6480
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
| License | State | Type | Specialty |
|---|---|---|---|
| 84788 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1639444524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2795 E BIDWELL ST # 100-506",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2795 E BIDWELL ST # 100-506",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306480",
"telephone_number": "916-932-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "84788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
- Intense Therapy LLC (Intense Therapy Medical Massage)
- Maryam Iranpour
- Irby Chiropractic, PC (Cascade Chiropractic)
- Race Alton Irby, D.C.
- Sara Arminta Irby, D.C.
- Iron Point Home Health Care, Inc.
- Iron Point Physical Therapy Inc
- Scott Kevin Ishmael, PA-C
- Valentina Alexandra Ivanova
- Bailey Joy Iwasa, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.