Palo Verde Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0901 Issued in NV

Legal business name

PALO VERDE THERAPY, INC.

Practice address

160 Cherry Ave.
Auburn, CA 95603

Phone

(530) 906-2319

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Gaston Shore, MFT

Title

Clinician/Owner/President

Phone

(530) 905-2319

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1861548612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CHERRY AVE.",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-906-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CHERRY AVE.",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-906-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO VERDE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "GASTON",
        "authorized_official_title_or_position": "CLINICIAN/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "530-905-2319",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00847-L",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Ann Packard
• Dallan R Packard, D.C.
• Sara Estela Packard, PTA
• Andrea Suzanne Padilla, PHCY TECH
• Kym Page-Lahue
• Karen Marie Panek, M.D.
• Daniel A. Panella, P.T.
• Paolo a Poidmore and Brian C Crawford Dental Corporation
• Theodore Parfet
• Ryan Parino, AMFT

• Marriage & Family Therapist in Auburn, CA
• Providers in Auburn, 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 Jun 20, 2018; 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.