Organization Active NPI

Tony Russell Marriage and Family Therapy Inc

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1871953992
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC42048 Issued in CA
Legal business name
TONY RUSSELL MARRIAGE AND FAMILY THERAPY INC
Practice address
2621 Capitol Ave
Sacramento, CA 95816-5920
Phone
(916) 443-1931
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Mr. Anthony Duke Russell, LMFT
Title
President
Phone
(916) 443-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC42048 CA Primary

Addresses

Primary practice location

2621 Capitol Ave
Sacramento, CA 95816-5920

Mailing address

PO Box 163420
Sacramento, CA 95816-9420
Phone (916) 443-1931

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1871953992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163420",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958169420",
            "telephone_number": "916-443-1931",
            "fax_number": "916-443-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 CAPITOL AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165920",
            "telephone_number": "916-443-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY RUSSELL MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DUKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-443-1931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.