Active NPI
Deanna F Re, MFT
- Marriage & Family Therapist
- Vacaville, CA
National Provider Identifier
1679649164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC31480
- Practice address
- 630 Orange Drive
Suite S
Vacaville, CA 95687 - Phone
- (707) 452-0601
- Fax
- (707) 448-8416
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- 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 | MFC31480 | CA | Primary |
Addresses
Primary practice location
630 Orange Drive
Suite S
Vacaville, CA 95687
Mailing address
630 Orange Dr
Suite S
Vacaville, CA 95687-3108
Phone (707) 452-0601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 19, 2026 through Jun 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC31480 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1679649164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 ORANGE DR",
"address_2": "SUITE S",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873108",
"telephone_number": "707-452-0601",
"fax_number": "717-448-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 ORANGE DRIVE",
"address_2": "SUITE S",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "95687",
"telephone_number": "707-452-0601",
"fax_number": "707-448-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RE",
"first_name": "DEANNA",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC31480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
- Brigitte M Randle, MD
- Edgar Rangi
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- Shahla Rasul, LCSW
- Raveena H Juneja Chiropractic Professional Corporation
- Dorethy Recella
- Kimber Lee Redmon, LCSW
- David S Reeves
- Reeves, DDS and Lavalley, DDS, a Dental Corporation (Kids Care Dental & Orthodontics - Vacaville)
- Regional Diagnostic Imaging
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.