MS. PATRICIA J. BULLOCK AMTI
NPI 1609009877
Marriage & Family Therapist in Petaluma, CA

Active since September 03, 2009
1500 PETALUMA BLVD S STE A, PETALUMA, CA 94952(707) 765-8488 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2018, May 18, 2016 (2 updates tracked since 2016).

About Ms. Patricia J. Bullock Amti NPPES

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

MS. PATRICIA J. BULLOCK AMTI (NPI 1609009877) is an individual marriage & family therapist in Petaluma, California, licensed in California (IMF91583) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1609009877
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. PATRICIA J. BULLOCKCredential: AMTI
Location Address1500 PETALUMA BLVD S STE APetaluma, CA 94952
Mailing Address1500 Petaluma Blvd SPetaluma, CA 94952-5545 · (707) 765-8488 · Fax (707) 765-8482
Sole ProprietorNo
Enumeration DateSeptember 3, 2009
Last NPPES UpdateJuly 18, 20182 updates tracked since enumeration
NPI 1609009877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · IMF91583
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1500 PETALUMA BLVD S STE A, Petaluma, CA 94952

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
1500 PETALUMA BLVD S STE A
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S STE A
PETALUMA, CA 94952
Counselor
1500 PETALUMA BLVD S STE A
PETALUMA, CA 94952
Counselor (Mental Health)
1500 PETALUMA BLVD S STE A
PETALUMA, CA 94952
Day Training/Habilitation Specialist
1500 PETALUMA BLVD S STE A
PETALUMA, CA 94952
Day Training/Habilitation Specialist
1500 PETALUMA BLVD S STE A
PETALUMA, CA 94952
Day Training/Habilitation Specialist
1500 PETALUMA BLVD S STE A
PETALUMA, CA 94952
Rehabilitation Practitioner
1500 PETALUMA BLVD S STE A
PETALUMA, CA 94952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609009877, enumerated as an "individual" on September 03, 2009.

The provider is located at 1500 PETALUMA BLVD S STE A PETALUMA, CA 94952 and the phone number is (707) 765-8488.

Marriage & Family Therapist with taxonomy code 106H00000X.