Individual provider Active NPI

Jo Anne Mabika

  • School Psychologist
  • San Mateo, CA
National Provider Identifier
1073438685
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
130 San Miguel Way
San Mateo, CA 94403-2954
Phone
(650) 312-7533
NPI assigned
Aug 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X CA Primary

Addresses

Primary practice location

130 San Miguel Way
San Mateo, CA 94403-2954

Mailing address

40515 Chapel Way Apt 49
Fremont, CA 94538-3460
Phone (951) 990-0391

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": "1786492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1073438685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40515 CHAPEL WAY APT 49",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383460",
            "telephone_number": "951-990-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SAN MIGUEL WAY",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032954",
            "telephone_number": "650-312-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABIKA",
        "first_name": "JO ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.