Individual provider Active NPI

Danny Paul Grody, MFT TRAINEE

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1114583002
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123640 Issued in CA
Practice address
447 Sutter St Ste 429
San Francisco, CA 94108-4630
Phone
(415) 343-4660
Fax
(415) 343-4660
NPI assigned
May 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X 123640 CA Primary

Addresses

Primary practice location

447 Sutter St Ste 429
San Francisco, CA 94108-4630

Mailing address

540 6TH Ave
San Francisco, CA 94118-3817
Phone (415) 830-1532

Other practice location 1

1035 Market St Fl 4
San Francisco, CA 94103-1600
Phone (415) 487-3000

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
123640CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1114583002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 6TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183817",
            "telephone_number": "415-830-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 SUTTER ST STE 429",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084630",
            "telephone_number": "415-343-4660",
            "fax_number": "415-343-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Market St Fl 4",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941031600",
            "country_code": "US",
            "telephone_number": "415-487-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRODY",
        "first_name": "DANNY",
        "middle_name": "PAUL",
        "credential": "MFT TRAINEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2021-06-17",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.