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DR. GEORGE R NORTHRUP PH.D.
NPI 1023233236
Marriage & Family Therapist in Shavano Park, TX

Active since April 13, 2007Opted out of Medicare · through Jun 10, 2027
112 WARBLER WAY STE 324, SHAVANO PARK, TX 78231(626) 376-7708(626) 793-7607 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 7, 2024, Aug 2, 2024 (2 updates tracked since 2024).

About Dr. George R Northrup Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GEORGE R NORTHRUP PH.D. (NPI 1023233236) is an individual marriage & family therapist in Shavano Park, Texas, licensed in California (MFT17019) and active in the NPI registry since April 2007. He has opted out of Medicare through June 10, 2027.

NPPES Registry Identity

NPI1023233236
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. GEORGE R NORTHRUPCredential: PH.D.
Location Address112 WARBLER WAY STE 324Shavano Park, TX 78231-1448
Mailing Address112 Warbler Way Ste 324Shavano Park, TX 78231-1448 · (626) 376-7708 · Fax (626) 793-7607
Phone(626) 376-7708
Fax(626) 793-7607
Sole ProprietorYes
Enumeration DateApril 13, 2007
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1023233236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFT17019
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.

112 WARBLER WAY STE 324, Shavano Park, TX 78231
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Other Names 1

Other Name (5)Dr. Randy Northrup

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. George R Northrup Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 10, 2025 through June 10, 2027.

Opt-Out Effective DateJune 10, 2025
Opt-Out In Effect ThroughJune 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

What is George Northrup's NPI number?

The NPI number assigned to this healthcare provider is 1023233236, enumerated as an "individual" on April 13, 2007.

Where is the provider located?

The provider is located at 112 WARBLER WAY STE 324 SHAVANO PARK, TX 78231 and the phone number is (626) 376-7708.

What is the provider's specialty?

Marriage & Family Therapist with taxonomy code 106H00000X.