Individual provider Active NPI

Marianne Von Michalofski

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1205219748
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
85856 Issued in CA
Practice address
4966 El Camino Real
Ste. 216
Los Altos, CA 94022-1436
Phone
(650) 336-0856
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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 85856 CA Primary

Addresses

Primary practice location

4966 El Camino Real
Ste. 216
Los Altos, CA 94022-1436

Mailing address

1111 W El Camino Real
#109-104
Sunnyvale, CA 94087-1056
Phone (650) 305-9398

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

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1205219748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W EL CAMINO REAL",
            "address_2": "#109-104",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871056",
            "telephone_number": "650-305-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL",
            "address_2": "STE. 216",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221436",
            "telephone_number": "650-336-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON MICHALOFSKI",
        "first_name": "MARIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85856",
            "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 Oct 27, 2015; 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.