Active NPI
Sandra Jean Crossman-Miranda, LMFT
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1184155087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT27755
- Practice address
- 1918 10TH Ave
Oakland, CA 94606-2676 - Phone
- (510) 261-3403
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- 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 | MFT27755 | CA | Primary |
Addresses
Primary practice location
1918 10TH Ave
Oakland, CA 94606-2676
Mailing address
1918 10TH Ave
Oakland, CA 94606-2676
Phone (510) 332-6949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT27755 | Other | CA | LMFT |
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 |
|---|---|---|---|
| MFT27755 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1184155087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 10TH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946062676",
"telephone_number": "510-332-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 10TH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946062676",
"telephone_number": "510-261-3403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSMAN-MIRANDA",
"first_name": "SANDRA",
"middle_name": "JEAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT27755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "MFT27755",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.