Individual provider Active NPI

Patrick William Tsukamaki, MA, LMFT

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1891114187
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 91097 Issued in CA
Practice address
395 Taylor Blvd Ste 220
Pleasant Hill, CA 94523-2291
Phone
(925) 289-9245
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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 91097 CA Primary

Addresses

Primary practice location

395 Taylor Blvd Ste 220
Pleasant Hill, CA 94523-2291

Mailing address

395 Taylor Blvd Ste 220
Pleasant Hill, CA 94523-2291
Phone (925) 289-9245

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT 91097CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1891114187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 TAYLOR BLVD STE 220",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232291",
            "telephone_number": "925-289-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 TAYLOR BLVD STE 220",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232291",
            "telephone_number": "925-289-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUKAMAKI",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 91097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.