Individual provider Active NPI

Christine Nicole Pirruccello, M.S.

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1790032639
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
91164 Issued in CA
Practice address
1026 Palm St Ste 215
San Luis Obispo, CA 93401-3260
Phone
(805) 316-0635
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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 91164 CA Primary

Addresses

Primary practice location

1026 Palm St Ste 215
San Luis Obispo, CA 93401-3260

Mailing address

1026 Palm St Ste 215
San Luis Obispo, CA 93401-3260
Phone (805) 316-0635

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
91164CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1790032639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 PALM ST STE 215",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013260",
            "telephone_number": "805-316-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 PALM ST STE 215",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013260",
            "telephone_number": "805-316-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRUCCELLO",
        "first_name": "CHRISTINE",
        "middle_name": "NICOLE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.