NPIMap

Organization Active NPI

Marriage & Family Therapy Associates

  • Marriage & Family Therapist
  • Auburn, NY
National Provider Identifier
1790236230
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000918 Issued in NY
Legal business name
MARRIAGE & FAMILY THERAPY ASSOCIATES
Practice address
3 South Street
Suite 300
Auburn, NY 13021-9519
Phone
(315) 282-7076
NPI assigned
Oct 19, 2016
Last updated
Oct 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Ms. Brandi Danielle Mack, MA-MFT, LMFT
Title
Senior Staff Therapist
Phone
(315) 282-7076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000918 NY Primary

Addresses

Primary practice location

3 South Street
Suite 300
Auburn, NY 13021-9519

Mailing address

3 South Street
Suite 300
Auburn, NY 13021-9519
Phone (315) 282-7076

National Provider Directory

National Provider Directory
Tax ID family
Marriage Family Therapy Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1790236230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SOUTH STREET",
            "address_2": "SUITE 300",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219519",
            "telephone_number": "315-282-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SOUTH STREET",
            "address_2": "SUITE 300",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219519",
            "telephone_number": "315-282-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE & FAMILY THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "SENIOR STAFF THERAPIST",
        "authorized_official_telephone_number": "315-282-7076",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA-MFT, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.