Eileen McCormick, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

41791 Issued in CA

Practice address

709 Mission St
Santa Cruz, CA 95060-3614

Phone

(831) 429-8350

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1740404441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603614",
            "telephone_number": "831-429-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603614",
            "telephone_number": "831-429-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "EILEEN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
            "identifier": "ZZZ91892Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Lynn McClinton
• Susan Rebecca McClosky, IMF 54639
• Adriel McCluer
• Austin Gavin McClure, D.D.S.
• Kelsey Catherine McClurg
• Naya Rae McCoy
• Ean Joana McCrystal
• Rebecca McCurdy, AMFT
• Elizabeth Anne McDade-Montez, PHD
• Kimlin McDaniel Keith, RN, IBCLC

• Marriage & Family Therapist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.