Active NPI
Michael McDonald
- Marriage & Family Therapist
- Rocklin, CA
National Provider Identifier
1760703755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50874
- Practice address
- 3175 Sunset Blvd Ste 107D
Rocklin, CA 95677-3091 - Phone
- (916) 529-8552
- Fax
- (916) 646-6785
- NPI assigned
- Jun 14, 2010
- Last updated
- Oct 8, 2015
- Sex
- Male
- 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 | 50874 | CA | Primary |
Addresses
Primary practice location
3175 Sunset Blvd Ste 107D
Rocklin, CA 95677-3091
Mailing address
3175 Sunset Blvd #107D
Rocklin, CA 95677
Phone (916) 529-8552
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 |
|---|---|---|---|
| 50874 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1760703755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 SUNSET BLVD #107D",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "95677",
"telephone_number": "916-529-8552",
"fax_number": "916-646-6785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 SUNSET BLVD STE 107D",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956773091",
"telephone_number": "916-529-8552",
"fax_number": "916-646-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.