Active NPI
Tina M Clifford, LMFT
- Marriage & Family Therapist
- Santa Cruz, CA
National Provider Identifier
1689822710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50606
- Practice address
- 740 Front St
Suit 360
Santa Cruz, CA 95060-4535 - Phone
- (831) 818-5005
- NPI assigned
- Sep 3, 2008
- 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 | 50606 | CA | Primary |
Addresses
Primary practice location
740 Front St
Suit 360
Santa Cruz, CA 95060-4535
Mailing address
413 Semple Ave
Aptos, CA 95003-5249
Phone (831) 818-5005
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 |
|---|---|---|---|
| 50606 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1689822710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 SEMPLE AVE",
"city": "APTOS",
"state": "CA",
"postal_code": "950035249",
"telephone_number": "831-818-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 FRONT ST",
"address_2": "SUIT 360",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604535",
"telephone_number": "831-818-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFFORD",
"first_name": "TINA",
"middle_name": "M",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50606",
"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 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.