Active NPI
Annemarie Ballinger
- Marriage & Family Therapist
- Fremont, CA
National Provider Identifier
1881804367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC33769
- Practice address
- 38970 Blacow Rd
Suite C
Fremont, CA 94536-7380 - Phone
- (510) 713-8437
- Fax
- (510) 536-6334
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC33769 | CA | Primary |
Addresses
Primary practice location
38970 Blacow Rd
Suite C
Fremont, CA 94536-7380
Mailing address
3103 Birdsall Ave.
Oakland, CA 94619
Phone (510) 713-8437
Other names 1
- Ms. Annemarie Ballinger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC33769 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1881804367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 BIRDSALL AVE.",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94619",
"telephone_number": "510-713-8437",
"fax_number": "510-536-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38970 BLACOW RD",
"address_2": "SUITE C",
"city": "FREMONT",
"state": "CA",
"postal_code": "945367380",
"telephone_number": "510-713-8437",
"fax_number": "510-536-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLINGER",
"first_name": "ANNEMARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC33769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNEMARIE",
"last_name": "BALLINGER",
"prefix": "MS.",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.