Individual provider Active NPI

Barbara J. Draheim, PHD. MFT MFC

  • Psychoanalyst
  • Tahoe City, CA
National Provider Identifier
1700100203
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
MFC-26046 Issued in CA
Practice address
3080 North Lake Blvd.
Tahoe City, CA 96145
Phone
(775) 831-7204
Fax
(775) 831-1777
NPI assigned
Mar 26, 2010
Last updated
Mar 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X MFT-0316 NV
Psychoanalyst 102L00000X MFC-26046 CA Primary

Addresses

Primary practice location

3080 North Lake Blvd.
Tahoe City, CA 96145

Mailing address

P.O. Box 6274
Tahoe City, CA 96145
Phone (775) 831-7204

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

LicenseStateTypeSpecialty
MFC-26046CAMDPsychoanalyst
MFT-0316NVMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1700100203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6274",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "96145",
            "telephone_number": "775-831-7204",
            "fax_number": "775-831-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 NORTH LAKE BLVD.",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "96145",
            "telephone_number": "775-831-7204",
            "fax_number": "775-831-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAHEIM",
        "first_name": "BARBARA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PHD. MFT MFC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NV",
            "license": "MFT-0316",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "MFC-26046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahoe City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.