Northern California Abuse Treatment

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 22869 Issued in CA

Legal business name

NORTHERN CALIFORNIA ABUSE TREATMENT

Practice address

2059 Nevada City Hwy Ste 104
Grass Valley, CA 95945-7708

Phone

(530) 477-7016

Fax

(530) 477-5919

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Kathy Jean Ellis, LMFT

Title

Clinical Director

Phone

(530) 477-7016

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1770753055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 NEVADA CITY HWY # 237",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457700",
            "telephone_number": "530-477-7016",
            "fax_number": "530-477-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 NEVADA CITY HWY STE 104",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457708",
            "telephone_number": "530-477-7016",
            "fax_number": "530-477-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA ABUSE TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "530-477-7016",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 22869",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41740",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 42832",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 49385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy M Noder, MA
• Daniella Noguera
• Norcal Physician Services
• M Rynda Norsell, PH.D.
• Allison North, MS, PPS
• Northern California Orthopaedic Associates Corp
• Northern Home Medical, Inc
• George Norwood
• Wesley Alan Nott
• Judy Nunley

• Marriage & Family Therapist in Grass Valley, CA
• Providers in Grass Valley, 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 Mar 3, 2008; 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.