Jennifer Reid Foster Bull, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100237 Issued in CA

Practice address

4 Joseph CT
San Rafael, CA 94903-2609

Phone

(415) 492-0720

Fax

(415) 492-1099

NPI assigned

Nov 2, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Works

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1548449606
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1770051237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JOSEPH CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032609",
            "telephone_number": "415-492-0720",
            "fax_number": "415-492-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JOSEPH CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032609",
            "telephone_number": "415-492-0720",
            "fax_number": "415-492-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "JENNIFER",
        "middle_name": "REID FOSTER",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Buford
• Samantha Grace Buhr
• Huong Le Bui
• Trini Bui
• Vincent L Bulanan
• Michelle Diane Bullard
• Tiawana Bullock III
• Laurie Elizabeth Buntain, MFT
• Sharon Burchik
• Tanya G Burdick, MSPT

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, 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 Nov 2, 2018; 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.