Individual provider Active NPI

Rachel C Sandelman

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1184895625
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112686 Issued in CA
Practice address
2011 Little Orchard St
San Jose, CA 95125-1031
Phone
(408) 245-1805
NPI assigned
Mar 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 112686 CA Primary

Addresses

Primary practice location

2011 Little Orchard St
San Jose, CA 95125-1031

Mailing address

2011 Little Orchard St
San Jose, CA 95125-1031
Phone (408) 245-1805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429003603 CA Practitioner - Marriage and Family Therapist 6103266853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112686CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caminar Current Accepting new patients
Caminar CurrentSince Mar 5, 2024 Accepting new patients
Caminar Past Accepting new patients

Locations

411 Borel Ave
Ste 101
San Mateo, CA 94402
Phone (650) 372-4080

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1184895625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 LITTLE ORCHARD ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951251031",
            "telephone_number": "408-245-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 LITTLE ORCHARD ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951251031",
            "telephone_number": "408-245-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDELMAN",
        "first_name": "RACHEL",
        "middle_name": "C",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.