Individual provider Active NPI

Bryan Gorrie, AMFT

  • Marriage & Family Therapist
  • Nevada City, CA
National Provider Identifier
1912716044
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT149124 Issued in CA
Practice address
202 Providence Mine Rd Ste 105
Nevada City, CA 95959-2945
Phone
(530) 277-2046
NPI assigned
Jan 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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 AMFT149124 CA Primary

Addresses

Primary practice location

202 Providence Mine Rd Ste 105
Nevada City, CA 95959-2945

Mailing address

PO Box 2336
Nevada City, CA 95959-1946
Phone (530) 277-2046

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

LicenseStateTypeSpecialty
AMFT149124CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kindred Heart Therapy Group Nonprofit Marriage & Family Therapist CurrentSince Jan 5, 2025 Accepting new patients

Locations

202 Providence Mine Rd
Ste 105
Nevada City, CA 95959
Phone (530) 264-7475

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1912716044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2336",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959591946",
            "telephone_number": "530-277-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PROVIDENCE MINE RD STE 105",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592945",
            "telephone_number": "530-277-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRIE",
        "first_name": "BRYAN",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT149124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.