Active NPI
Victoria E Boccanfuso, PSYD
- Mental Health Counselor
- Danville, CA
National Provider Identifier
1043374333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 115 Town and Country Dr Ste a
Danville, CA 94526-3960 - Phone
- (925) 837-0505
- NPI assigned
- Dec 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
115 Town and Country Dr Ste a
Danville, CA 94526-3960
Mailing address
2092 Penny LN
Tracy, CA 95377-7902
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043374333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2092 PENNY LN",
"city": "TRACY",
"state": "CA",
"postal_code": "953777902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TOWN AND COUNTRY DR STE A",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945263960",
"telephone_number": "925-837-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCCANFUSO",
"first_name": "VICTORIA",
"middle_name": "E",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
- Blackhawk Medical Group, Inc
- Blackhawk Plastic Surgery, a Medical Corp.
- Blackhawk Surgery Center, a Medical Corp.
- Leslie A Blinn, PHARM. D.
- Charlene Boatright, FNP
- Christina Dolores Bode, RD, CDE
- Bodymax Physical Therapy, Inc.
- Boghossian Vision, a Professional Medical Corporation
- Allen Boghossian, D.O.
- Frank Elizarde Bongolan Jr., DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.