Organization Active NPI

California Parenting Institute

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1790038560
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC45574 Issued in CA
Legal business name
CALIFORNIA PARENTING INSTITUTE
Practice address
3641 Stony Point Rd
Santa Rosa, CA 95407
Phone
(707) 585-3700
Fax
(707) 585-3883
NPI assigned
Oct 18, 2012
Organization subpart
Yes
Parent organization
CPI CHILDREN'S COUNSELING CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Carolina Mariposa, MFT
Title
Clinic Director
Phone
(707) 585-6108

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY22027 CA
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X LSC22463 CA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC45574 CA Primary

Addresses

Primary practice location

3641 Stony Point Rd
Santa Rosa, CA 95407

Mailing address

3650 Standish Ave
Santa Rosa, CA 95407
Phone (707) 585-6108

Other names 1

  • CPI Children's Counseling Center-New Directions Campus Other name

National Provider Directory

National Provider Directory
Tax ID family
California Parenting Institute4 organizations share this tax ID, including this one
Part of
California Parenting Institute

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3641 Stony Point Rd
Santa Rosa, CA 95407
Phone (707) 585-3700

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1790038560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 STANDISH AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95407",
            "telephone_number": "707-585-6108",
            "fax_number": "707-585-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 STONY POINT RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95407",
            "telephone_number": "707-585-3700",
            "fax_number": "707-585-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PARENTING INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CPI CHILDREN'S COUNSELING CENTER",
        "enumeration_date": "2012-10-18",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "MARIPOSA",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "707-585-6108",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22027",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LSC22463",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPI Children's Counseling Center-New Directions Campus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.