CAROLYN ANN CACCIATORE M.A. NPI 1083041651

NPI Information

  • NPI: 1083041651
  • Provider Name: CAROLYN ANN CACCIATORE, M.A.
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 365 KUCK LN
    PETALUMA, CA
    ZIP 94952
  • Phone: (707) 795-6954

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NPI Details

Carolyn Ann Cacciatore, M.A. is a marriage family therapist in Petaluma, CA. The provider is 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. Carolyn Ann Cacciatore, M.A. NPI is 1083041651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

365 KUCK LN
PETALUMA, CA
ZIP 94952-606
Phone: (707) 795-6954

The NPI 1083041651 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/27/2013 and was last updated on 12/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorIMF 76011CALIFORNIANo
2101YM0800XCounselorMental HealthIMF 76011CALIFORNIANo
3106H00000XMarriage & Family TherapistIMF 76011CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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