NPIMap

Organization Active NPI

Phil Bluemel Family Therapy Inc.

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1679966378
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC16175 Issued in CA
Legal business name
PHIL BLUEMEL FAMILY THERAPY INC.
Practice address
3300 Douglas Blvd
Suite 240
Roseville, CA 95661-3844
Phone
(916) 787-0555
Fax
(916) 787-6222
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Mr. Phil Bluemel, LMFTNPI 1356362867
Title
President
Phone
(916) 787-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC16175 CA Primary

Addresses

Primary practice location

3300 Douglas Blvd
Suite 240
Roseville, CA 95661-3844

Mailing address

642 Nugget CT
Roseville, CA 95678-1221
Phone (916) 303-3726

National Provider Directory

National Provider Directory

Locations

3300 Douglas Blvd
Ste 240
Roseville, CA 95661
Phone (916) 770-5083

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1679966378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 NUGGET CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781221",
            "telephone_number": "916-303-3726",
            "fax_number": "916-787-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 DOUGLAS BLVD",
            "address_2": "SUITE 240",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613844",
            "telephone_number": "916-787-0555",
            "fax_number": "916-787-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL BLUEMEL FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "BLUEMEL",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-787-0555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC16175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.