Doris McDonnell
Marriage & Family Therapist in Sebastopol, CA. Individual provider (NPI-1).
NPI number1669910642
StatusActive
Last updated in NPPESFeb 9, 2017
Details
- NPI
- 1669910642
- Entity type
- Individual (NPI-1)
- Name
- Doris McDonnell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2017
- Last updated
- Feb 9, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MARRIAGE AND FAMILY THERAPIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC44434 | CA | Yes |
Practice location
7866 Bodega AveC#2
Sebastopol, CA 95472-3500
Phone 415-609-6696
Mailing address
7866 Bodega AveC#2
Sebastopol, CA 95472-3500
Phone 415-609-6696
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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