Individual provider Active NPI

Ross Edward Farley III, MA

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1679058424
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT109603 Issued in CA
Practice address
735 Chestnut St Ste C
Santa Cruz, CA 95060
Phone
(831) 996-1222
Fax
(831) 417-0443
NPI assigned
Sep 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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 AMFT109603 CA Primary

Addresses

Primary practice location

735 Chestnut St Ste C
Santa Cruz, CA 95060

Mailing address

735 Chestnut St Ste C
Santa Cruz, CA 95060-3759
Phone (831) 996-1222

Other practice location 1

1010 Cass St Ste 3
Monterey, CA 93940-4515
Phone (831) 313-4043

Other practice location 2

1010 Cass St Ste 3
Monterey, CA 93940-4515
Phone (831) 313-4043

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AMFT109603CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Octave Behavioral Health PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1679058424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 CHESTNUT ST STE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603759",
            "telephone_number": "831-996-1222",
            "fax_number": "831-417-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 CHESTNUT ST STE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95060",
            "telephone_number": "831-996-1222",
            "fax_number": "831-417-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Cass St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939404515",
            "country_code": "US",
            "telephone_number": "831-313-4043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Cass St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939404515",
            "country_code": "US",
            "telephone_number": "831-313-4043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "ROSS",
        "middle_name": "EDWARD",
        "name_suffix": "III",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT109603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.