Individual provider Active NPI

Trisha Lee Gemulla, MBA, MS

  • Marriage & Family Therapist
  • Auburn, CA
National Provider Identifier
1972635431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48197 Issued in CA
Practice address
1130 Lincoln Way
Suite 6
Auburn, CA 95603-5122
Phone
(916) 300-4351
NPI assigned
Mar 11, 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 48197 CA Primary

Addresses

Primary practice location

1130 Lincoln Way
Suite 6
Auburn, CA 95603-5122

Mailing address

9220 Muir Way
Granite Bay, CA 95746-9678
Phone (916) 791-6002

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
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
48197CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972635431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 MUIR WAY",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469678",
            "telephone_number": "916-791-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LINCOLN WAY",
            "address_2": "SUITE 6",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035122",
            "telephone_number": "916-300-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMULLA",
        "first_name": "TRISHA",
        "middle_name": "LEE",
        "credential": "MBA, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.