Individual provider Active NPI

Lee Embrey, PH.D.

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1790900850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC31506 Issued in CA
Practice address
1399 Ygnacio Valley Rd
Ste. 22
Walnut Creek, CA 94598-2884
Phone
(925) 945-1860
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC31506 CA Primary

Addresses

Primary practice location

1399 Ygnacio Valley Rd
Ste. 22
Walnut Creek, CA 94598-2884

Mailing address

1399 Ygnacio Valley Rd
Ste. 22
Walnut Creek, CA 94598-2884
Phone (925) 945-1860

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC31506CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790900850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD",
            "address_2": "STE. 22",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982884",
            "telephone_number": "925-945-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD",
            "address_2": "STE. 22",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982884",
            "telephone_number": "925-945-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBREY",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC31506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.