Lucinda Ann Rathbun, MFTI #63054

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 63054 Issued in CA

Practice address

438 Colusa Ave
Suite a
Yuba City, CA 95991-4148

Phone

(530) 755-0735

Fax

(530) 755-0737

NPI assigned

Jun 20, 2011

Last updated

Jun 20, 2011By 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

• Lucinda Ann Davenport Former name

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael Prothero Marriage and Family Therapist and Associates inGroup PAC ID 0446784326, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Prothero Marriage and Family Therapist and Associates in

  • Marriage & Family Therapist
  • Yuba City, CA
  • NPI 1265694954
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1699061515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 COLUSA AVE",
            "address_2": "SUITE A",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914148",
            "telephone_number": "530-755-0735",
            "fax_number": "530-755-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 COLUSA AVE",
            "address_2": "SUITE A",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914148",
            "telephone_number": "530-755-0735",
            "fax_number": "530-755-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHBUN",
        "first_name": "LUCINDA",
        "middle_name": "ANN",
        "credential": "MFTI #63054",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 63054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCINDA",
            "last_name": "DAVENPORT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Manpreet Randhawa
• Rajdeep Kaur Randhawa, MFT
• Poonam Rani, DENTIST
• Archana Raj Rao, M.D.
• Katelynn Rapp
• Ashley Ratzlaff, AMFT
• Re-Entry Inc.
• Craig Reading, DMD
• Logan Craig Reading, D.C.
• Susan Joan Redford, MFT

• Marriage & Family Therapist in Yuba City, CA
• Providers in Yuba City, 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 Jun 20, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.