Individual provider Active NPI

Daryl Tubbs, M.F.T.

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1962512129
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC25905 Issued in CA
Practice address
1225 M Street
Correctional Health, 2ND Floor
Fresno, CA 93721-1805
Phone
(559) 442-2404
Fax
(559) 442-5277
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC25905 CA Primary
Counselor 101Y00000X

Addresses

Primary practice location

1225 M Street
Correctional Health, 2ND Floor
Fresno, CA 93721-1805

Mailing address

P.O. Box 11867
Correctional Health Division
Fresno, CA 93775-1867
Phone (559) 600-3229

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
MFC25905CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Fresno Past Accepting new patients
County of Fresno Past Accepting new patients

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1962512129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11867",
            "address_2": "CORRECTIONAL HEALTH DIVISION",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937751867",
            "telephone_number": "559-600-3229",
            "fax_number": "559-445-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 M STREET",
            "address_2": "CORRECTIONAL HEALTH, 2ND FLOOR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211805",
            "telephone_number": "559-442-2404",
            "fax_number": "559-442-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "DARYL",
        "name_prefix": "Mr.",
        "credential": "M.F.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC25905",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.