Active NPI
Patricia Ann Geissinger, MFT
- Marriage & Family Therapist
- Redlands, CA
National Provider Identifier
1699979393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC14636
- Practice address
- 1902 Orange Tree LN Ste 150
Redlands, CA 92374-4527 - Phone
- (909) 798-3300
- NPI assigned
- Jun 14, 2007
- 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 | MFC14636 | CA | Primary |
Addresses
Primary practice location
1902 Orange Tree LN Ste 150
Redlands, CA 92374-4527
Mailing address
328 Alvarado St
Redlands, CA 92373-5123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC14636 | Other | CA | MARRIAGE & FAM THERAPIST |
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 |
|---|---|---|---|
| MFC14636 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699979393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 ALVARADO ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 ORANGE TREE LN STE 150",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744527",
"telephone_number": "909-798-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISSINGER",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC14636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE & FAM THERAPIST",
"identifier": "MFC14636",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.