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

Q: What is George Northrup's NPI number?

The NPI number for George Northrup is 1023233236. It was assigned to this individual provider in the NPPES registry on April 13, 2007. The provider is also known as Dr. Randy Northrup.

Q: What is George Northrup's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is George Northrup enrolled in Medicare?

No. George Northrup has opted out of Medicare through June 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for George Northrup was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Northrup's NPI number?

The NPI number for George Northrup is 1023233236. It was assigned to this individual provider in the NPPES registry on April 13, 2007. The provider is also known as Dr. Randy Northrup.

Where is George Northrup located?

George Northrup practices at 112 Warbler Way Ste 324, Shavano Park, TX 78231. The listed phone number is (626) 376-7708.

What is George Northrup's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is George Northrup enrolled in Medicare?

No. George Northrup has opted out of Medicare through June 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for George Northrup was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.