Active NPI
Martin Lee Schwebel
- Marriage & Family Therapist
- Petaluma, CA
National Provider Identifier
1659789345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 103247
- Practice address
- 24 Western Ave Ste 308
Petaluma, CA 94952-2979 - Phone
- (707) 347-9568
- NPI assigned
- Jul 26, 2014
- 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 | 103247 | CA | Primary |
Addresses
Primary practice location
24 Western Ave Ste 308
Petaluma, CA 94952-2979
Mailing address
24 Western Ave Ste 308
Petaluma, CA 94952-2979
Phone (707) 658-1465
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 |
|---|---|---|---|
| 103247 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1659789345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WESTERN AVE STE 308",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949522979",
"telephone_number": "707-658-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 WESTERN AVE STE 308",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949522979",
"telephone_number": "707-347-9568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWEBEL",
"first_name": "MARTIN",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-26",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "103247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.