Mary Katherine Prentice, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

33459 Issued in CA

Practice address

549 Old Mammoth Rd.
Suite #10
Mammoth Lakes, CA 93546

Phone

(760) 934-0355

NPI assigned

Nov 16, 2007

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

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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1851572044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935460047",
            "telephone_number": "760-934-0355",
            "fax_number": "760-934-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 OLD MAMMOTH RD.",
            "address_2": "SUITE #10",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "93546",
            "telephone_number": "760-934-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "33459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pact Out Patient (Mammoth Hospital)
• Yuri R. Parisky, M.D.
• Audrey Pauly, M.D.
• Peak Community Physical Therapy, Inc
• Eva J. Poole-Gilson
• Sheri Pueblo, PHYSICAL THERAPIST
• Jesica Jasmin Ramos Castelan
• Daniel Aubry Ranson Jr., LCSW
• Melanie Reedy
• Anita Reeve, B.A.

• Marriage & Family Therapist in Mammoth Lakes, CA
• Providers in Mammoth Lakes, 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 Nov 16, 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.