Individual provider Active NPI

Thomas Bieri

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1811313273
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41838 Issued in CA
Practice address
1410 Guerneville Rd Ste 14
Santa Rosa, CA 95403-4172
Phone
(707) 575-0979
Fax
(707) 573-6968
NPI assigned
Mar 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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 41838 CA Primary

Addresses

Primary practice location

1410 Guerneville Rd Ste 14
Santa Rosa, CA 95403-4172

Mailing address

1410 Guerneville Rd Ste 14
Santa Rosa, CA 95403-4172
Phone (707) 575-0979

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
41838CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1811313273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 GUERNEVILLE RD STE 14",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034172",
            "telephone_number": "707-575-0979",
            "fax_number": "707-573-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 GUERNEVILLE RD STE 14",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034172",
            "telephone_number": "707-575-0979",
            "fax_number": "707-573-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERI",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 10, 2014; 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.