Melissa Tervet-Da Cunha, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100732 Issued in CA

Practice address

121 Paul Dr Ste E
San Rafael, CA 94903-2047

Phone

(415) 448-6456

NPI assigned

Aug 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1205235074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PAUL DR STE E",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032047",
            "telephone_number": "415-448-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PAUL DR STE E",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032047",
            "telephone_number": "415-448-6456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Northgate Dr Ste 100",
            "address_2": "Family Service Agency of Marin",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949033696",
            "country_code": "US",
            "telephone_number": "415-491-5700",
            "fax_number": "415-491-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERVET-DA CUNHA",
        "first_name": "MELISSA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Terada-Yamamoto, PHARMD
• Carol Tereszkiewicz, MD
• Nicole Termonfils, PA-C, MPH
• Terra Linda Medical Group
• Terra Linda Pediatrics
• Kelly Terzis
• Arinn Ashley Testa, PSYD
• Jillian Tetangco
• Nadia Khalil Thalji, MA AND PH.D STUDENT
• Priyanka Kaashyap Thatipamala, MD

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.