Carrie Ellen Trubenbach, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 41504 Issued in CA

Practice address

15951 Los Gatos Blvd Ste 18
Los Gatos Blvd. Ste 18
Los Gatos, CA 95032-3488

Phone

(831) 818-3563

NPI assigned

Apr 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992923437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 14TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624062",
            "telephone_number": "831-818-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD STE 18",
            "address_2": "LOS GATOS BLVD. STE 18",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323488",
            "telephone_number": "831-818-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBENBACH",
        "first_name": "CARRIE",
        "middle_name": "ELLEN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg Eugene Trent, DDS
• Triantos MD & Milford MD Inc
• Michael Wayne Triantos, M.D.
• Carol Ann Triest, P.T.
• Marita Ann Trobough, CFM
• An Tinh Truong, PT
• Jeffrey Truong
• Kim Hoang Truong, DPT
• Patricia L Trupp, P.T.
• Kaylee Tsai

• Marriage & Family Therapist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Marriage & Family Therapist in California

• 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.