Active NPI
Garret B Conway
- Marriage & Family Therapist
- Santa Cruz, CA
National Provider Identifier
1972729531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 134308
- Practice address
- 191 Harvey West Blvd
Santa Cruz, CA 95060-2126 - Phone
- (831) 469-1700
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 134308 | CA | Primary |
Addresses
Primary practice location
191 Harvey West Blvd
Santa Cruz, CA 95060-2126
Mailing address
205 Molina Dr
Bonny Doon, CA 95060-9457
Phone (831) 420-7987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 4, 2025 through Mar 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1972729531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 MOLINA DR",
"city": "BONNY DOON",
"state": "CA",
"postal_code": "950609457",
"telephone_number": "831-420-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 HARVEY WEST BLVD",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602126",
"telephone_number": "831-469-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "GARRET",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "134308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.