Fidelity Family Therapy and Consulting

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

FIDELITY FAMILY THERAPY AND CONSULTING

Practice address

355 High St SE
Salem, OR 97301-3613

Phone

(971) 600-1603

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Allen David, MSNPI 1841656279

Title

Director

Phone

(503) 871-2330

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Allen David

  • Marriage & Family Therapist
  • Salem, OR
  • NPI 1841656279
  NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1972382281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MARKET ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011135",
            "telephone_number": "503-871-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HIGH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013613",
            "telephone_number": "971-600-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY FAMILY THERAPY AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-871-2330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.