Michelle Ritenour

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 56684 Issued in CA

Practice address

2 Crow Canyon CT
Suite 110
San Ramon, CA 94583-1953

Phone

(925) 212-8014

NPI assigned

Nov 8, 2010

Last updated

Nov 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Wong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1689975674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROW CANYON CT",
            "address_2": "SUITE 110",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831953",
            "telephone_number": "925-212-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROW CANYON CT",
            "address_2": "SUITE 110",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831953",
            "telephone_number": "925-212-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITENOUR",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 56684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lillian Rain Rife, M.ED., BCBA
• Donna Riopelle
• Garth Byron Riopelle, D.D.S.
• Jeffrey Riopelle, MD
• Berenis Rios
• Ryan L Ritter
• Matthew Gabriel Rivera Barillas
• Andrew Robert Rivera, MD
• Cassandra L Rivera
• Philip John Gamboa Rivera, DC

• Marriage & Family Therapist in San Ramon, CA
• Providers in San Ramon, 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 Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.