Individual provider Active NPI

Thedy Oscar Veliz, MA, LMFT #90276

  • Marriage & Family Therapist
  • Los Gatos, CA
National Provider Identifier
1073860581
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT90276 Issued in CA
Practice address
330 N Santa Cruz Ave Ste B
Los Gatos, CA 95030-7277
Phone
(408) 412-9530
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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 LMFT90276 CA Primary

Addresses

Primary practice location

330 N Santa Cruz Ave Ste B
Los Gatos, CA 95030-7277

Mailing address

330 N Santa Cruz Ave Ste B
Los Gatos, CA 95030-7277
Phone (408) 412-9530

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
LMFT90276CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1073860581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N SANTA CRUZ AVE STE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307277",
            "telephone_number": "408-412-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N SANTA CRUZ AVE STE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307277",
            "telephone_number": "408-412-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIZ",
        "first_name": "THEDY",
        "middle_name": "OSCAR",
        "name_prefix": "Mr.",
        "credential": "MA, LMFT #90276",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT90276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.