Active NPI
Christine Minakakis
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1013429562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 135281
- Practice address
- 1043 Garland Ave Ste C
San Jose, CA 95126-3159 - Phone
- (408) 372-8458
- NPI assigned
- Oct 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 101920 | CA | |
| Marriage & Family Therapist | 106H00000X | 135281 | CA | Primary |
Addresses
Primary practice location
1043 Garland Ave Ste C
San Jose, CA 95126-3159
Mailing address
1416 S Hickory Dr
Mount Prospect, IL 60056-5010
Phone (847) 494-6580
Other practice location 1
15495 Los Gatos Blvd
Los Gatos, CA 95032-2544
Phone (408) 518-0254
Other practice location 2
2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444
Other names 1
- Ms. Christine Minakakis Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135281 | CA | MD | Marriage & Family Therapist |
| 101920 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1013429562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 S HICKORY DR",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600565010",
"telephone_number": "847-494-6580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 GARLAND AVE STE C",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951263159",
"telephone_number": "408-372-8458"
}
],
"practiceLocations": [
{
"address_1": "15495 Los Gatos Blvd",
"address_purpose": "LOCATION",
"city": "Los Gatos",
"state": "CA",
"postal_code": "950322544",
"country_code": "US",
"telephone_number": "408-518-0254",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2275 Arlington Dr",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945781132",
"country_code": "US",
"telephone_number": "510-317-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINAKAKIS",
"first_name": "CHRISTINE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "101920",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "135281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "ANDERSON",
"middle_name": "MINAKAKIS",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.