Active NPI
Ursula Gertrude Anderson, MFT INTERN
- Marriage & Family Therapist
- Palm Springs, CA
National Provider Identifier
1821365107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 74778
- Practice address
- 2500 N Palm Canyon Dr
Palm Springs, CA 92262-1868 - Phone
- (442) 268-7000
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 74778 | CA | Primary |
Addresses
Primary practice location
2500 N Palm Canyon Dr
Palm Springs, CA 92262-1868
Mailing address
1775 E Palm Canyon Dr Ste 110
Palm Springs, CA 92264-1623
Phone (442) 268-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74778 | Other | CA | BOARD OF BEHAVIORAL SCIENCES INTERN REGISTRATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 74778 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1821365107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 E PALM CANYON DR STE 110",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922641623",
"telephone_number": "442-268-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N PALM CANYON DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922621868",
"telephone_number": "442-268-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "URSULA",
"middle_name": "GERTRUDE",
"name_prefix": "Mrs.",
"credential": "MFT INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "74778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES INTERN REGISTRATION",
"identifier": "74778",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
- Brian Leroy Anderson, M.D
- Charles Edward Anderson Jr., MD
- Jeffrey Anderson, CADC-CS, ICCS, ICADC
- Jill Nicole Anderson, RDH
- Ryan Anderson, O.D.
- Karla Andrade
- Andrew J. Fragen, MD, Facs, Inc.
- Angel Hospice Providers Inc
- Angel View Crippled Childrens Foundation Inc (William Demarest Canyon Country Club House)
- Angel View Crippled Childrens Foundation Inc (Marian James Transitional House)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.