Active NPI
Jiraporn Dow Angspatt, MFT, ED.D
- Marriage & Family Therapist
- Weaverville, CA
National Provider Identifier
1992945489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MPC46529
- Practice address
- 903 Main St.
Weaverville, CA 96093-2221 - Phone
- (530) 623-0462
- NPI assigned
- Feb 24, 2009
- Last updated
- Aug 20, 2009
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MPC46529 | CA | Primary |
Addresses
Primary practice location
903 Main St.
Weaverville, CA 96093-2221
Mailing address
PO 2221
Weaverville, CA 96093-2221
Phone (530) 623-0462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPC46529 | CA | MD | Marriage & Family Therapist |
| 46529 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redding Rancheria | Current | Accepting new patients | |
| Redding Rancheria | Current | Accepting new patients | |
| Redding Rancheria | Current | Accepting new patients |
Locations
1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700
81 Arbuckle Ct
Weaverville, CA 96093
Phone (530) 623-0021
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1104859354
-
dba Redding Rancheria Center for Advanced Care
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1780423244
-
dba Central Valley Healthcare
- Federally Qualified Health Center (FQHC)
- Shasta Lake, CA
- NPI 1831724053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1992945489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO 2221",
"city": "WEAVERVILLE",
"state": "CA",
"postal_code": "960932221",
"telephone_number": "530-623-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 MAIN ST.",
"city": "WEAVERVILLE",
"state": "CA",
"postal_code": "960932221",
"telephone_number": "530-623-0462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGSPATT",
"first_name": "JIRAPORN",
"middle_name": "DOW",
"name_prefix": "Dr.",
"credential": "MFT, ED.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MPC46529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weaverville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.