Individual provider Active NPI

Shelly S Aldrich, MA

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1942404207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF42450 Issued in CA
Practice address
420 Folsom Rd Ste C
Roseville, CA 95678-2767
Phone
(916) 300-5548
Fax
(916) 791-2261
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IMF42450 CA Primary

Addresses

Primary practice location

420 Folsom Rd Ste C
Roseville, CA 95678-2767

Mailing address

420 Folsom Rd Ste C
Roseville, CA 95678-2767
Phone (916) 300-5548

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 1, 2026 through Jun 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF42450CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942404207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FOLSOM RD STE C",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782767",
            "telephone_number": "916-300-5548",
            "fax_number": "916-791-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FOLSOM RD STE C",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782767",
            "telephone_number": "916-300-5548",
            "fax_number": "916-791-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRICH",
        "first_name": "SHELLY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF42450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.