Active NPI
Thomas Forray, LMFT -CALIFORNIA
- Marriage & Family Therapist
- Greenbrae, CA
National Provider Identifier
1659395002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF 15861
- Practice address
- 250 Bon Air Rd
First Floor
Greenbrae, CA 94904-1702 - Phone
- (415) 299-9847
- Fax
- (415) 507-4160
- NPI assigned
- Jul 27, 2006
- 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 | MF 15861 | CA | Primary |
Addresses
Primary practice location
250 Bon Air Rd
First Floor
Greenbrae, CA 94904-1702
Mailing address
250 Bon Air Rd
First Floor
Greenbrae, CA 94904-1702
Phone (415) 299-9847
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MF 15861 | Other | CA | LIC. MARRIAGE/FAMILY THER |
| 24731 | Other | IN | MASTER ADDICTIONS COUNS. |
| 16637 | Other | IN | CERT. CRIMINAL JUSTICE SP |
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 |
|---|---|---|---|
| MF 15861 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1659395002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 BON AIR RD",
"address_2": "FIRST FLOOR",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949041702",
"telephone_number": "415-299-9847",
"fax_number": "415-507-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BON AIR RD",
"address_2": "FIRST FLOOR",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949041702",
"telephone_number": "415-299-9847",
"fax_number": "415-507-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORRAY",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LMFT -CALIFORNIA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MF 15861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC. MARRIAGE/FAMILY THER",
"identifier": "MF 15861",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTER ADDICTIONS COUNS.",
"identifier": "24731",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERT. CRIMINAL JUSTICE SP",
"identifier": "16637",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.