Beth Susan Pumerantz, MA, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC47086 Issued in CA

Practice address

2247 Wisteria Ave
Upland, CA 91784-7383

Phone

(909) 946-9411

Fax

(909) 985-3474

NPI assigned

Apr 20, 2009

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1831333970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 WISTERIA AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917847383",
            "telephone_number": "909-946-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 WISTERIA AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917847383",
            "telephone_number": "909-946-9411",
            "fax_number": "909-985-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMERANTZ",
        "first_name": "BETH",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MA, MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC47086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Puchbauer, PSYD
• Allen Lee Puckett, AMFT
• Shanmuga S. Pudunagar Subbiah, MD
• Sara Pugh
• Cassidy Pulice
• Pureco Dental Group Inc
• Mario Pureco, D.D.S
• Michele Ann Putini, LMFT
• Faisal M Qazi, D.O.
• Quality DME

• Marriage & Family Therapist in Upland, CA
• Providers in Upland, 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 Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.