Individual provider Active NPI

Anna Paganelli, MA, MFT

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1053596288
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43441 Issued in CA
Practice address
340 Soquel Ave
Suite 107
Santa Cruz, CA 95062-2328
Phone
(831) 425-7400
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 43441 CA
Marriage & Family Therapist 106H00000X 43441 CA Primary

Addresses

Primary practice location

340 Soquel Ave
Suite 107
Santa Cruz, CA 95062-2328

Mailing address

340 Soquel Ave
Suite 107
Santa Cruz, CA 95062-2328
Phone (831) 425-7400

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
43441CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Paganelli, Ma, MFT Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1053596288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SOQUEL AVE",
            "address_2": "SUITE 107",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622328",
            "telephone_number": "831-425-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SOQUEL AVE",
            "address_2": "SUITE 107",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622328",
            "telephone_number": "831-425-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANELLI",
        "first_name": "ANNA",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "43441",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.