ROBERT E. PROULX (MFT) – Marriage & Family Therapist, NPI 1740326404

ROBERT E. PROULX (MFT) is a healthcare provider. based in Upland, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MFT. They hold a License No. MFC 9483 (CA). The NPI Number for ROBERT E. PROULX (MFT) is 1740326404

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT E. PROULX (MFT)
NPI
1740326404
Phone
(909) 981-0270
Address
288 W 9TH ST
Enumeration Date
29 January 2007
Last Update Date
29 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9099810270
Graduation Year
1976 (50 years ago)
PAC ID
9335688217
Group Practice PAC ID
8426597303
Professional Enrollment ID
I20240822003476
Address ID
CA917865949UP288XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

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Provider Addresses for ROBERT E. PROULX (MFT)

  • 288, 9th Street, Upland, Delaware County, Pennsylvania, 19015, United States

    UPLAND, CA 917865949

    Phone: (909) 981-0270

    Fax: (909) 981-3585

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240822003476IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91786)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426597303View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Is there an official ID for ROBERT E. PROULX (MFT) in U.S. healthcare records?
The official identifier for ROBERT E. PROULX (MFT) is NPI 1740326404.
Is there an active status for ROBERT E. PROULX (MFT)?
For scheduling context, ROBERT E. PROULX (MFT) is shown as active in the registry.
What kind of doctor is ROBERT E. PROULX (MFT)?
ROBERT E. PROULX (MFT) is associated with Marriage & Family Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROBERT E. PROULX (MFT)?
Travel planning: use Upland, California as the reference point for ROBERT E. PROULX (MFT), then confirm.
Can I trust this NPI listing for ROBERT E. PROULX (MFT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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