Active NPI
Marygail Nelson, MS
- Marriage & Family Therapist
- Walnut Creek, CA
National Provider Identifier
1700052883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 27992
- Practice address
- 222 Tiburon CT
Walnut Creek, CA 94597-3436 - Phone
- (925) 930-9152
- NPI assigned
- May 7, 2008
- 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 | 27992 | CA | Primary |
Addresses
Primary practice location
222 Tiburon CT
Walnut Creek, CA 94597-3436
Mailing address
222 Tiburon CT
Walnut Creek, CA 94597-3436
Phone (925) 930-9152
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 |
|---|---|---|---|
| 27992 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1700052883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 TIBURON CT",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973436",
"telephone_number": "925-930-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 TIBURON CT",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973436",
"telephone_number": "925-930-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MARYGAIL",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "27992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.