Active NPI
Clare Eimile Mulford, MFT
- Marriage & Family Therapist
- Marquette, MI
National Provider Identifier
1962564609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 49655
- Practice address
- 1009 W Ridge St Ste C
Marquette, MI 49855-3997 - Phone
- (906) 228-6545
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 49655 | CA | Primary |
Addresses
Primary practice location
1009 W Ridge St Ste C
Marquette, MI 49855-3997
Mailing address
1009 W Ridge St Ste C
Marquette, MI 49855-3997
Phone (906) 228-6545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9871 | Other | CA | MEDICAL PROVIDER NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49655 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1962564609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 W RIDGE ST STE C",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553997",
"telephone_number": "906-228-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 W RIDGE ST STE C",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553997",
"telephone_number": "906-228-6545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULFORD",
"first_name": "CLARE",
"middle_name": "EIMILE",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "49655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER NUMBER",
"identifier": "9871",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.