GEORGE WILLIAM BROMLEY JR. MFT INTERN
NPI 1598053928
Marriage & Family Therapist in Santa Rosa, CA

Q: What is George Bromley's NPI number?

The NPI number for George Bromley is 1598053928. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Q: What is George Bromley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for George Bromley was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 19, 2011PECOS Enrolled

3440 AIRWAY DR, SANTA ROSA, CA 95403(707) 800-3954 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About George William Bromley Jr. Mft Intern NPPES

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

GEORGE WILLIAM BROMLEY JR. MFT INTERN (NPI 1598053928) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (IMF69971) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598053928

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameGEORGE WILLIAM BROMLEY JR.Credential: MFT INTERN

Location Address3440 AIRWAY DRSanta Rosa, CA 95403-2065

Mailing Address3440 Airway DrSanta Rosa, CA 95403-2065 · (707) 800-3954

Phone(707) 800-3954

Sole ProprietorYes

Enumeration DateJuly 19, 2011

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1598053928 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 · IMF69971

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.

3440 AIRWAY DR, Santa Rosa, CA 95403

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George William Bromley Jr. Mft Intern is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KARLA LOUNIBOS

Counselor