Individual provider Active NPI

Patricia Grace Neufeld-Erdman

  • Marriage & Family Therapist
  • Davis, CA
National Provider Identifier
1659498418
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37074 Issued in CA
Practice address
509 4TH St Ste 4
Davis, CA 95616-4152
Phone
(530) 650-2114
NPI assigned
Mar 24, 2007
Last updated
Jan 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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 37074 CA Primary

Addresses

Primary practice location

509 4TH St Ste 4
Davis, CA 95616-4152

Mailing address

509 4TH St Ste 4
Davis, CA 95616-4152
Phone (530) 650-2114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 1, 2025 through Nov 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37074CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1659498418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 4TH ST STE 4",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164152",
            "telephone_number": "530-650-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 4TH ST STE 4",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164152",
            "telephone_number": "530-650-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUFELD-ERDMAN",
        "first_name": "PATRICIA",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "37074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.