Beverly Mantych

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1112 Washington St
Red Bluff, CA 96080-2749

Phone

(530) 527-6702

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Service Agency of Tehama County

  • Marriage & Family Therapist
  • Red Bluff, CA
  • NPI 1215193149
  NPD

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1669090262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 WASHINGTON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 WASHINGTON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802749",
            "telephone_number": "530-527-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTYCH",
        "first_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irwin R Maier, M.D.
• Kayla Makhoul, R.N., P.H.N., B.S.N
• Scott Malan, MD
• Rishi Malhotra
• Lea Manlapaz-Villavicencio
• Noman Manzoor, DO
• Holly Nicole Maples, FNP
• Natasha Maqsood, MD
• Annalise Joy Maritzen
• Tristan Maryah Marriott, M.A, BCBA

• Marriage & Family Therapist in Red Bluff, CA
• Providers in Red Bluff, 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 9, 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.

Verify at the official NPI Registry.