Material Source, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MATERIAL SOURCE, INC.

Practice address

2380 E Bidwell St
Folsom, CA 95630-3455

Phone

(916) 207-4762

Fax

(916) 608-9284

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Carol Titta, MFTNPI 1285818492

Title

President

Phone

(916) 207-4762

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Titta, MFT

  • Mental Health Counselor
  • Placerville, CA
  • NPI 1285818492
  NPD Authorized official

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1861253528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303455",
            "telephone_number": "916-207-4762",
            "fax_number": "916-608-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303455",
            "telephone_number": "916-207-4762",
            "fax_number": "916-608-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERIAL SOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "TITTA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-207-4762",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxie F. Massey, PH.D.
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• Linda Jean Mastin, RN
• Melody A Matela
• Cheryl Ann Matossian, M.D.
• Soe Soe Maw, MD
• Sammy Mburu
• Paige McAtee
• Marcel Aaron McCain

• Marriage & Family Therapist in Folsom, CA
• Providers in Folsom, 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 19, 2024; 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.