Active NPI
Mary Louise Caulfield
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Grass Valley, CA
National Provider Identifier
1982924189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Practice address
- 714 W Main St
Grass Valley, CA 95945-6410 - Phone
- (530) 477-9800
- Fax
- (530) 477-9803
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
714 W Main St
Grass Valley, CA 95945-6410
Mailing address
714 W Main St
Grass Valley, CA 95945-6410
Phone (530) 477-9800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1982924189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 W MAIN ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456410",
"telephone_number": "530-477-9800",
"fax_number": "530-477-9803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 W MAIN ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456410",
"telephone_number": "530-477-9800",
"fax_number": "530-477-9803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAULFIELD",
"first_name": "MARY",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.