Individual provider Active NPI

Roberta Jayne Verderico, LMFT

  • Marriage & Family Therapist
  • Morgan Hill, CA
National Provider Identifier
1043438641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC41702 Issued in CA
Practice address
50 W Main Ave
Suite C
Morgan Hill, CA 95037-4574
Phone
(408) 472-8174
Fax
(408) 776-3537
NPI assigned
Apr 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC41702 CA Primary

Addresses

Primary practice location

50 W Main Ave
Suite C
Morgan Hill, CA 95037-4574

Mailing address

50 W Main Ave
Suite C
Morgan Hill, CA 95037-4574
Phone (408) 472-8174

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

LicenseStateTypeSpecialty
MFC41702CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043438641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W MAIN AVE",
            "address_2": "SUITE C",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374574",
            "telephone_number": "408-472-8174",
            "fax_number": "408-776-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W MAIN AVE",
            "address_2": "SUITE C",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374574",
            "telephone_number": "408-472-8174",
            "fax_number": "408-776-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDERICO",
        "first_name": "ROBERTA",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

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.

Verify at the official NPI Registry.