Tina Lee McDonough, MFT (MFC 50512)

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF51639 Issued in CA

Practice address

3440 Airway Dr Ste E
Santa Rosa, CA 95403-2065

Phone

(707) 544-3299

Fax

(707) 544-6837

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371859200000",
    "number": "1962549725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 AIRWAY DR STE E",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032065",
            "telephone_number": "707-544-3299",
            "fax_number": "707-544-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 AIRWAY DR STE E",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032065",
            "telephone_number": "707-544-3299",
            "fax_number": "707-544-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "TINA",
        "middle_name": "LEE",
        "credential": "MFT (MFC 50512)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF51639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Olsen McDonell, NP
• Connor McDonell
• Mary McDonell, RD, RN
• Julia Lynn McDonnell
• Michael McDonnell
• Mika McDougall, M.D.
• Gitana McDowel, MA PPS
• Ronald Charles McDowell, MS, PT
• Autumn Nasondra McElroy
• Frank McEuin

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; 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.