Allyn Pharo, MFT INTERN W MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LPHA7179 Issued in CA

Practice address

4216 Roseville Rd
North Highlands, CA 95660

Phone

(916) 344-0199

Fax

(916) 344-0196

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

Master of Arts

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649383696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 LORIMER WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "98747",
            "telephone_number": "916-773-2465",
            "fax_number": "916-344-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 ROSEVILLE RD",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "95660",
            "telephone_number": "916-344-0199",
            "fax_number": "916-344-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARO",
        "first_name": "ALLYN",
        "name_prefix": "Ms.",
        "credential": "MFT INTERN W MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LPHA7179",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF40970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in North Highlands, CA
• Providers in North Highlands, 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 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.