Active NPI
Maureen Ryan, MFT
- Marriage & Family Therapist
- Chico, CA
National Provider Identifier
1891260493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 15604
- Practice address
- 4 Dove Creek CT
Chico, CA 95926-1625 - Phone
- (619) 488-4969
- NPI assigned
- Oct 10, 2018
- 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 | 15604 | CA | Primary |
Addresses
Primary practice location
4 Dove Creek CT
Chico, CA 95926-1625
Mailing address
PO Box 439056
San Ysidro, CA 92143-9056
Phone (619) 488-4969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15604 | Other | CA | BOARD OFBEHAVIORAL SCIENCES |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1891260493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 439056",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921439056",
"telephone_number": "619-488-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 DOVE CREEK CT",
"city": "CHICO",
"state": "CA",
"postal_code": "959261625",
"telephone_number": "619-488-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MAUREEN",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "15604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OFBEHAVIORAL SCIENCES",
"identifier": "15604",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.