Organization Active NPI

Uprooted Marriage and Family Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carmichael, CA
National Provider Identifier
1982482485
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
UPROOTED MARRIAGE AND FAMILY THERAPY
Practice address
8037 Fair Oaks Blvd
Carmichael, CA 95608-6742
Phone
(404) 988-0512
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Angelique Bailey, LMFTNPI 1417735010
Title
Owner
Phone
(404) 988-0512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8037 Fair Oaks Blvd
Carmichael, CA 95608-6742

Mailing address

PO Box 580786
Elk Grove, CA 95758-0014
Phone (404) 988-0512

National Provider Directory

National Provider Directory

Locations

8037 Fair Oaks Blvd
Carmichael, CA 95608
Phone (404) 988-0512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1982482485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580786",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957580014",
            "telephone_number": "404-988-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8037 FAIR OAKS BLVD",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086742",
            "telephone_number": "404-988-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPROOTED MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-988-0512",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.