Maurice Geddis, MFTI, PCCI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFTI88734 Issued in CA

Practice address

1234 Empire St FL 2
Suite2300
Fairfield, CA 94533-5711

Phone

(707) 384-7303

NPI assigned

Feb 26, 2016

Last updated

Feb 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1881054351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7744 GEORGE RIVER LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315817",
            "telephone_number": "916-806-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 EMPIRE ST FL 2",
            "address_2": "SUITE2300",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335711",
            "telephone_number": "707-384-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDIS",
        "first_name": "MAURICE",
        "credential": "MFTI, PCCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCCI2239",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFTI88734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Fairfield, CA
• Providers in Fairfield, 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 Feb 26, 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.