Individual provider Active NPI

Cynthia Manuel-Shah, MA

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1053562272
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
79289 Issued in CA
Practice address
121 Bernal Rd
Ste 80 #1055
San Jose, CA 95119-1396
Phone
(408) 800-6415
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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 79289 CA Primary

Addresses

Primary practice location

121 Bernal Rd
Ste 80 #1055
San Jose, CA 95119-1396

Mailing address

121 Bernal Rd Ste 80
San Jose, CA 95119-1396
Phone (408) 800-6415

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
79289CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1053562272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BERNAL RD STE 80",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191396",
            "telephone_number": "408-800-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BERNAL RD",
            "address_2": "STE 80 #1055",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191396",
            "telephone_number": "408-800-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL-SHAH",
        "first_name": "CYNTHIA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "79289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 29, 2026; 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.