Active NPI
Eileen L Nathanson, MFT
- Marriage & Family Therapist
- Lafayette, CA
National Provider Identifier
1891055364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 3468 Mt Diablo Blvd Ste B201
Lafayette, CA 94549-3959 - Phone
- (925) 297-5157
- NPI assigned
- May 18, 2012
- 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 | Primary |
Addresses
Primary practice location
3468 Mt Diablo Blvd Ste B201
Lafayette, CA 94549-3959
Mailing address
3468 Mt Diablo Blvd Ste B201
Lafayette, CA 94549-3959
Phone (925) 297-5157
Other names 1
- Lena Nathanson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 3, 2024 through Jun 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90501 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1891055364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3468 MT DIABLO BLVD STE B201",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945493959",
"telephone_number": "925-297-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3468 MT DIABLO BLVD STE B201",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945493959",
"telephone_number": "925-297-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHANSON",
"first_name": "EILEEN",
"middle_name": "L",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-18",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LENA",
"last_name": "NATHANSON",
"credential": "MFT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.