PATTI TACKETT


Address: 1989 Vicente Dr, San Luis Obispo, CA 93405-6863
Phone: 8057814179

PATTI TACKETT (NPI# 1346444775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346444775
Entity Type Individual
Full Name PATTI TACKETT
Credential MFT-T
Practice Address 1989 Vicente Dr
San Luis Obispo
CA 93405-6863
Mailing Address 1498 7th St
Los Osos
CA 93402-1618
Practice Telephone 8057814179
Mailing Telephone 8058011540
Enumeration Date 2007-06-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Office Location

Street Address 1989 VICENTE DR
City SAN LUIS OBISPO
State CA
Zip Code 93405-6863

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306855630 Gina Marie Forgette Social Worker 1989 Vicente Dr, #a, San Luis Obispo, CA 93405-6863 2006-08-05
1619527496 Shelley Theresa Bailey Registered Nurse 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 2019-09-13
1386180628 Mayra Gricel Lopez Social Worker 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 2017-01-10
1174894976 Matthew William Clarke Counselor 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 2012-01-25
1962727792 Nicole Schallberger Marriage & Family Therapist 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 2010-04-05
1730384231 Carolina Anne Van Stone Counselor 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 2007-06-15
1144360538 William Anthony Clarke Marriage & Family Therapist 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 2007-02-07
1912057167 Katherine Lillian Mcgregor Marriage & Family Therapist 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 2007-01-11
1952465114 Denise M Egan Marriage & Family Therapist 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 2006-12-21
1568523819 Enn Mannard Psychiatry & Neurology 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 2006-12-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164076626 Hilary Abbott Anderson Physician Assistant 127 Casa St., San Luis Obispo, CA 93405 2019-08-01
1811465834 Fatemeh Ladan Ahmadinia Dentist 764 N Santa Rosa St, San Luis Obispo, CA 93405 2018-11-07
1538559794 Arnold Martin Horwitz Marriage & Family Therapist 1605 Garnette Drive, San Luis Obispo, CA 93405 2015-01-27
1750794764 Solmaz Naghsh Pharmacist 765 Foothill Blvd, San Luis Obispo, CA 93405 2014-06-06
1609293471 Robert S. Flores Dmd, Inc Dentist 878 Boysen Avenue, San Luis Obispo, CA 93405 2014-03-18
1457776445 Laura Anne Wilvert Marriage & Family Therapist 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 2014-02-27
1497181200 Tracey Ruby Madrigal Counselor 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 2013-09-25
1437597572 Sarah Michelle Brenis Counselor 524 Princeton Place, San Luis Obispo, CA 93405 2013-06-11
1013350974 Jenna Rose Ramos Counselor 1459 Descanso St., San Luis Obispo, CA 93405 2013-04-10
1700140696 Christopher Dieterich Marchand Social Worker 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 2012-06-26
Find all providers in zip 93405

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245868769 Michael Mazzella Marriage & Family Therapist 1190 Marsh St Ste E, San Luis Obispo, CA 93401-3332 2020-03-30
1669005609 Serena Jade Andrews Marriage & Family Therapist 1461 Higuera St Ste C, San Luis Obispo, CA 93401-2948 2020-02-18
1437655529 Pamela Suraci Marriage & Family Therapist 3591 Sacramento Dr Ste 116, San Luis Obispo, CA 93401-7256 2018-04-05
1588174999 Erin Lynn Lindvall Marriage & Family Therapist 895 Aerovista Pl Ste 106, San Luis Obispo, CA 93401-8725 2017-10-11
1053859116 Julie Messer Marriage & Family Therapist 697 Higuera St, Suite D, San Luis Obispo, CA 93401-3544 2017-02-08
1013465210 Pamela Kremza Marriage & Family Therapist 508 Higuera St, San Luis Obispo, CA 93401-3835 2016-09-15
1467805333 Shelley Triggs Marriage & Family Therapist 1264 Higuera St Ste 100, San Luis Obispo, CA 93401-3171 2016-07-15
1225485147 Melissa Carol Campe Marriage & Family Therapist 3392 Rockview Pl, Apt #1, San Luis Obispo, CA 93401-6787 2016-05-20
1194187369 Stephanie Baisa Wilson Marriage & Family Therapist 1190 Marsh St Ste A, San Luis Obispo, CA 93401-3332 2016-03-25
1134500192 Anne Appel Marriage & Family Therapist 1461 Higuera Street, Suite B, San Luis Obispo, CA 93401-3722 2015-06-16
Find all providers in SAN LUIS OBISPO

Competitor

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City SAN LUIS OBISPO
Zip Code 93405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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