FREDDY FORD LMFT - NPI 1710048376 - Marriage & Family Therapist in Fairfield, CA

Q: What is Freddy Ford's NPI number?

The NPI number for Freddy Ford is 1710048376. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Freddy Ford'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 Freddy Ford was last updated on October 20, 2021. 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.

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About Freddy Ford Lmft NPPES

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

FREDDY FORD LMFT (NPI 1710048376) is an individual marriage & family therapist in Fairfield, California, licensed in California (49630) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710048376

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameFREDDY FORDCredential: LMFT

Location Address2460 CLAY BANK RDFairfield, CA 94533-1655

Mailing Address2460 Clay Bank RdFairfield, CA 94533-1655 · (707) 399-4833

Phone(707) 399-4833

Sole ProprietorNo

Enumeration DateDecember 13, 2006

Last NPPES UpdateOctober 20, 20212 updates tracked since enumeration

NPPES CertifiedOctober 20, 2021

✔ NPI 1710048376 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 · 49630

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.

2460 CLAY BANK RD, Fairfield, CA 94533

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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)

Freddy Ford Lmft 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 16

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

RIANNA ELTAGONDE

Social Worker (Clinical)