Active NPI
Dalise Gada, MS, LMFT
- Marriage & Family Therapist
- Elk Grove, CA
National Provider Identifier
1699206904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 93616
- Practice address
- 8630 W Wing Dr
Elk Grove, CA 95758-9538 - Phone
- (209) 712-7363
- NPI assigned
- Mar 27, 2017
- 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 | 93616 | CA | Primary |
Addresses
Primary practice location
8630 W Wing Dr
Elk Grove, CA 95758-9538
Mailing address
8630 W Wing Dr
Elk Grove, CA 95758-9538
Phone (209) 712-7363
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93616 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1699206904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8630 W WING DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957589538",
"telephone_number": "209-712-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8630 W WING DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957589538",
"telephone_number": "209-712-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADA",
"first_name": "DALISE",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "93616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.