Individual provider Active NPI

Margaret Ellen Vanderkar, MFT

  • Marriage & Family Therapist
  • Diamond Springs, CA
National Provider Identifier
1649216599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC36397 Issued in CA
Practice address
504 Main St
Diamond Springs, CA 95619-9109
Phone
(530) 295-1230
Fax
(530) 626-8117
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC36397 CA Primary

Addresses

Primary practice location

504 Main St
Diamond Springs, CA 95619-9109

Mailing address

504 Main St
Diamond Springs, CA 95619-9109
Phone (530) 295-1230

Other names 1

  • Peg Vanderkar Other name

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

LicenseStateTypeSpecialty
MFC36397CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649216599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199109",
            "telephone_number": "530-295-1230",
            "fax_number": "530-626-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199109",
            "telephone_number": "530-295-1230",
            "fax_number": "530-626-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKAR",
        "first_name": "MARGARET",
        "middle_name": "ELLEN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEG",
            "last_name": "VANDERKAR",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Diamond Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.