RUTH MARYA FANKUSHEN (NPI# 1386055341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386055341 |
| Entity Type | Individual |
| Full Name | RUTH MARYA FANKUSHEN |
| Credential | LMFT |
| Practice Address |
2655 Portage Bay E Ste 4 Davis CA 95616-3073 |
| Practice Telephone | 5305078647 |
| Practice Fax Number | 5303023388 |
| Mailing Telephone | 5305078647 |
| Mailing Fax Number | 5303023388 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 94555 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF 74268 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 455 1st St, Woodland, CA 956954023 | 5306622211 | 5306624315 |
| Street Address |
2655 PORTAGE BAY E STE 4 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| 1548794902 | Sharon Thompson Wilson | Marriage & Family Therapist | 509 4th St Ste A, Davis, CA 95616-4152 | 2017-04-12 |
| 1083161731 | Erica Joy Mccarthy | Marriage & Family Therapist | 2825 Seine Ave, Davis, CA 95616-2938 | 2016-09-09 |
| 1144600941 | Suzanna Gee | Marriage & Family Therapist | 2655 Portage Bay E Ste 5, Davis, CA 95616-3073 | 2015-06-05 |
| 1639565633 | Samuel Turner Elson | Marriage & Family Therapist | 105 E St Ste 2e, Davis, CA 95616-4572 | 2015-04-07 |
| 1659774461 | Katherine Ehsan | Marriage & Family Therapist | 217 2nd St Apt 2, Davis, CA 95616-4801 | 2014-10-07 |
| 1295162352 | Andrea Schairer | Marriage & Family Therapist | 1260 Lake Blvd Ste 243, Davis, CA 95616-2687 | 2013-10-03 |
| 1558702472 | Julie Jorgenson | Marriage & Family Therapist | 2062 John Jones Rd Ste 220, Davis, CA 95616-9709 | 2013-07-08 |
| 1366712127 | Brett Stephen Coder | Marriage & Family Therapist | 260 Russell Blvd, Suite D-1, Davis, CA 95616-3839 | 2012-01-10 |
| 1700165172 | Colleen Rae Mcdonald | Marriage & Family Therapist | 1818 Moore Blvd, #234, Davis, CA 95618-7683 | 2011-08-16 |
| Find all providers in DAVIS | ||||
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| 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.