Individual provider Active NPI

Maureen Paula Misuraca, AMFT, APCC

  • Marriage & Family Therapist
  • Coachella, CA
National Provider Identifier
1790327229
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10069892 Issued in CA
Practice address
49211 Grapefruit Blvd Ste 6
Coachella, CA 92236-1480
Phone
(760) 541-8520
Fax
(760) 262-3795
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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 10069892 CA Primary

Addresses

Primary practice location

49211 Grapefruit Blvd Ste 6
Coachella, CA 92236-1480

Mailing address

49211 Grapefruit Blvd Ste 6
Coachella, CA 92236-1480
Phone (760) 541-8520

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

State licenses

LicenseStateTypeSpecialty
10069892CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Behavioral Health, Inc. PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1790327229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49211 GRAPEFRUIT BLVD STE 6",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361480",
            "telephone_number": "760-541-8520",
            "fax_number": "760-262-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49211 GRAPEFRUIT BLVD STE 6",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361480",
            "telephone_number": "760-541-8520",
            "fax_number": "760-262-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISURACA",
        "first_name": "MAUREEN",
        "middle_name": "PAULA",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "10069892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.