Active NPI
Sheri Lynn Russell, MFT
- Marriage & Family Therapist
- Gilroy, CA
National Provider Identifier
1699852889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC44969
- Practice address
- 7877 Wren Ave Ste a
Gilroy, CA 95020-4980 - Phone
- (408) 710-2001
- Fax
- (408) 848-0015
- NPI assigned
- Nov 1, 2006
- 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 | MFC44969 | CA | Primary |
Addresses
Primary practice location
7877 Wren Ave Ste a
Gilroy, CA 95020-4980
Mailing address
7877 Wren Ave Ste a
Gilroy, CA 95020-4980
Phone (408) 710-2001
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC44969 | CA | MD | Marriage & Family Therapist |
| 44969 | CA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1699852889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7877 WREN AVE STE A",
"city": "GILROY",
"state": "CA",
"postal_code": "950204980",
"telephone_number": "408-710-2001",
"fax_number": "408-848-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7877 WREN AVE STE A",
"city": "GILROY",
"state": "CA",
"postal_code": "950204980",
"telephone_number": "408-710-2001",
"fax_number": "408-848-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "SHERI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC44969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.