Active NPI
Ana Caroline Del Bosque, AMFT
- Marriage & Family Therapist
- Novato, CA
National Provider Identifier
1710705173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT149122
- Practice address
- 201 Alameda del Prado Ste 103
Novato, CA 94949-6698 - Phone
- (415) 457-9494
- NPI assigned
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- No
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 | AMFT149122 | CA | Primary |
Addresses
Primary practice location
201 Alameda del Prado Ste 103
Novato, CA 94949-6698
Mailing address
410 Shoreline Hwy Apt 1
Mill Valley, CA 94941-3712
Phone (415) 686-6009
Other practice location 1
1496 Professional Dr Ste 602
Petaluma, CA 94954-6698
Phone (707) 772-5085 ext. 103
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 |
|---|---|---|---|
| AMFT149122 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petaluma Family Therapy Inc | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1496 Professional Dr
Ste 602
Petaluma, CA 94954
Phone 7077725085 ext. 103
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Petaluma, CA
- NPI 1568911964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1710705173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 SHORELINE HWY APT 1",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413712",
"telephone_number": "415-686-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ALAMEDA DEL PRADO STE 103",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496698",
"telephone_number": "415-457-9494"
}
],
"practiceLocations": [
{
"address_1": "1496 Professional Dr Ste 602",
"address_purpose": "LOCATION",
"city": "Petaluma",
"state": "CA",
"postal_code": "949546698",
"country_code": "US",
"telephone_number": "707-772-5085 x103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEL BOSQUE",
"first_name": "ANA",
"middle_name": "CAROLINE",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-02",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT149122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.