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JOAQUIN LOPEZ DE SAN ROMAN
NPI 1215482773
Marriage & Family Therapist in Sebastopol, CA

Active since August 24, 2016
2650 BURNSIDE RD, SEBASTOPOL, CA 95472(707) 328-1793(707) 664-4104 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joaquin Lopez De San Roman NPPES

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

JOAQUIN LOPEZ DE SAN ROMAN (NPI 1215482773) is an individual marriage & family therapist in Sebastopol, California, licensed in California (45971) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1215482773
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJOAQUIN LOPEZ DE SAN ROMAN
Location Address2650 BURNSIDE RDSebastopol, CA 95472-9424
Mailing Address2650 Burnside RdSebastopol, CA 95472-9424 · (707) 328-1793 · Fax (707) 664-4104
Phone(707) 328-1793
Fax(707) 664-4104
Sole ProprietorYes
Enumeration DateAugust 24, 2016
✔ NPI 1215482773 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 · 45971
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.
2650 BURNSIDE RD, Sebastopol, CA 95472
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Joaquin Lopez De San Roman's NPI number?

The NPI number for Joaquin Lopez De San Roman is 1215482773. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Where is Joaquin Lopez De San Roman located?

Joaquin Lopez De San Roman practices at 2650 Burnside Rd, Sebastopol, CA 95472. The listed phone number is (707) 328-1793.

What is Joaquin Lopez De San Roman's specialty?

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

What insurance does Joaquin Lopez De San Roman accept?

Health plans from Providence Health Plan list Joaquin Lopez De San Roman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joaquin Lopez De San Roman was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.