Organization Active NPI

Family and Group Therapy , a Professional Corporation

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1174380539
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FAMILY AND GROUP THERAPY , A PROFESSIONAL CORPORATION
Practice address
4966 El Camino Real Ste 216
Los Altos, CA 94022-1458
Phone
(650) 793-4642
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Svetlana Tikhonova, LMFTNPI 1942325246
Title
Clinician
Phone
(650) 793-4642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4966 El Camino Real Ste 216
Los Altos, CA 94022-1458

Mailing address

4966 El Camino Real Ste 216
Los Altos, CA 94022-1458
Phone (650) 793-4642

National Provider Directory

National Provider Directory

Locations

4966 El Camino Real
Ste 216
Los Altos, CA 94022
Phone (408) 475-0078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1174380539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL STE 216",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221458",
            "telephone_number": "650-793-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL STE 216",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221458",
            "telephone_number": "650-793-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND GROUP THERAPY , A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "TIKHONOVA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "650-793-4642",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.