Individual provider Active NPI

Marianne McDade, MFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1770516049
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC25680 Issued in CA
Practice address
1900 Point West Way
Suite 197
Sacramento, CA 95815-4705
Phone
(919) 641-2150
Fax
(919) 972-7111
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC25680 CA Primary

Addresses

Primary practice location

1900 Point West Way
Suite 197
Sacramento, CA 95815-4705

Mailing address

1900 Point West Way
Suite 197
Sacramento, CA 95815-4705
Phone (919) 641-2150

Other identifiers 1

IdentifierTypeStateIssuer
MFC25680OtherCASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108006062 CA Practitioner - Marriage and Family Therapist 5698126290 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1900 Point W Way
Suite 197
Sacramento, CA 95815-4783
Phone (916) 641-2150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC25680CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770516049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 POINT WEST WAY",
            "address_2": "SUITE 197",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154705",
            "telephone_number": "919-641-2150",
            "fax_number": "919-972-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 POINT WEST WAY",
            "address_2": "SUITE 197",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154705",
            "telephone_number": "919-641-2150",
            "fax_number": "919-972-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDADE",
        "first_name": "MARIANNE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC25680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MFC25680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.