Active NPI
Michael P. Caughlan, M.F.T.
- Marriage & Family Therapist
- Carson City, NV
National Provider Identifier
1740463579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT 854
- Practice address
- 603 E Robinson St
Carson City, NV 89701-4022 - Phone
- (775) 883-4325
- NPI assigned
- Dec 16, 2007
- Sex
- Male
- 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 | MFT 854 | NV | Primary |
Addresses
Primary practice location
603 E Robinson St
Carson City, NV 89701-4022
Mailing address
1427 Edlesborough Cir
Gardnerville, NV 89410-5800
Phone (775) 220-0340
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 |
|---|---|---|---|
| MFT 854 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1740463579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 EDLESBOROUGH CIR",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894105800",
"telephone_number": "775-220-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 E ROBINSON ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897014022",
"telephone_number": "775-883-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUGHLAN",
"first_name": "MICHAEL",
"middle_name": "P.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-16",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MFT 854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.