Sally Marie Farley

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

47149 Issued in CA

Practice address

1827 Atlanta Ave
Suite D2
Riverside, CA 92507-7419

Phone

(951) 955-8210

NPI assigned

Mar 19, 2007

Last updated

Jan 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sally Marie Gibson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1811011364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 ATLANTA AVE",
            "address_2": "SUITE D2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077419",
            "telephone_number": "951-955-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 ATLANTA AVE",
            "address_2": "SUITE D2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077419",
            "telephone_number": "951-955-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "SALLY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "GIBSON",
            "middle_name": "MARIE",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Farias
• Patricia S Farias
• Mailyn Farinas, FNP
• Danea Farley
• Emily Christine Farley, LCSW
• Farmacia Riverside LLC (Farmacia Riverside)
• Phillip Preston Farmer, FNP
• Mekayla Farnell
• Gary Rex Farney, DDS
• Donald E. Farnham, L.M.F.T.

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.