Active NPI
Jennifer Ruth Downey, MFT
- Marriage & Family Therapist
- Yucaipa, CA
National Provider Identifier
1720185499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 22853
- Practice address
- 34675 Yucaipa Blvd
Suite 108
Yucaipa, CA 92399-4155 - Phone
- (909) 797-3401
- NPI assigned
- Sep 17, 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 | MFC 22853 | CA | Primary |
Addresses
Primary practice location
34675 Yucaipa Blvd
Suite 108
Yucaipa, CA 92399-4155
Mailing address
1234 Pecos St
Redlands, CA 92374-3847
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 |
|---|---|---|---|
| MFC 22853 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720185499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 PECOS ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923743847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34675 YUCAIPA BLVD",
"address_2": "SUITE 108",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923994155",
"telephone_number": "909-797-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNEY",
"first_name": "JENNIFER",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 22853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucaipa, 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.