Active NPI
Loic Jassy, PH.D., MFT
- Marriage & Family Therapist
- Los Gatos, CA
National Provider Identifier
1154081958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT22014
- Practice address
- 20 S. Santa Cruz Ave
Suite 309
Los Gatos, CA 95030 - Phone
- (408) 395-4662
- NPI assigned
- Dec 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT22014 | CA | Primary |
Addresses
Primary practice location
20 S. Santa Cruz Ave
Suite 309
Los Gatos, CA 95030
Mailing address
2895 Redwood Sr.
Aptos, CA 95003
Phone (831) 419-7735
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT22014 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1154081958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2895 REDWOOD SR.",
"city": "APTOS",
"state": "CA",
"postal_code": "95003",
"telephone_number": "831-419-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S. SANTA CRUZ AVE",
"address_2": "SUITE 309",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "95030",
"telephone_number": "408-395-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASSY",
"first_name": "LOIC",
"name_prefix": "Dr.",
"credential": "PH.D., MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-21",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT22014",
"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 21, 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.