Individual provider Active NPI

Emily Elise Schramm

  • Marriage & Family Therapist
  • Pleasanton, CA
National Provider Identifier
1861705634
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 86690 Issued in CA
Practice address
5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537
Phone
(510) 249-3166
NPI assigned
Jul 21, 2010
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT 86690 CA Primary

Addresses

Primary practice location

5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537

Mailing address

5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537
Phone (510) 249-3166

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240816002712 CA Order and Referring Only - Clinical Psychologist 0840738175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT 86690CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1861705634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 W LAS POSITAS BLVD STE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888537",
            "telephone_number": "510-249-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 W LAS POSITAS BLVD STE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888537",
            "telephone_number": "510-249-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAMM",
        "first_name": "EMILY",
        "middle_name": "ELISE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2022-02-02",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 86690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.