Individual provider Active NPI

Darin Deterra, PHD

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1730352238
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT24139 Issued in CA
Practice address
519 Seabright Ave Ste 207
Santa Cruz, CA 95062-3482
Phone
(831) 425-0100
NPI assigned
Apr 7, 2008
Last updated
Apr 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT24139 CA Primary

Addresses

Primary practice location

519 Seabright Ave Ste 207
Santa Cruz, CA 95062-3482

Mailing address

2340 7TH Ave
Santa Cruz, CA 95062-1633
Phone (831) 425-0100

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT24139CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1730352238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 7TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621633",
            "telephone_number": "831-425-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 SEABRIGHT AVE STE 207",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623482",
            "telephone_number": "831-425-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETERRA",
        "first_name": "DARIN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT24139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.

Verify at the official NPI Registry.