Active NPI
Larry James Scettrini, MFT
- Marriage & Family Therapist
- Gilroy, CA
National Provider Identifier
1174728398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 40698
- Practice address
- 1215 1St St
Gilroy, CA 95020-4733 - Phone
- (408) 686-2368
- Fax
- (408) 847-4370
- NPI assigned
- Jun 18, 2007
- 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 | 40698 | CA | Primary |
Addresses
Primary practice location
1215 1St St
Gilroy, CA 95020-4733
Mailing address
1215 1St St
Gilroy, CA 95020-4733
Phone (408) 686-2368
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40698 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174728398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 1ST ST",
"city": "GILROY",
"state": "CA",
"postal_code": "950204733",
"telephone_number": "408-686-2368",
"fax_number": "408-847-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 1ST ST",
"city": "GILROY",
"state": "CA",
"postal_code": "950204733",
"telephone_number": "408-686-2368",
"fax_number": "408-847-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCETTRINI",
"first_name": "LARRY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "40698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.