Individual provider Active NPI

Vineel Maharaj

  • Marriage & Family Therapist
  • Stockton, CA
National Provider Identifier
1205280575
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2495 W March LN Ste 125
Stockton, CA 95207-8224
Phone
(209) 465-1080
NPI assigned
Apr 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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 Primary

Addresses

Primary practice location

2495 W March LN Ste 125
Stockton, CA 95207-8224

Mailing address

2495 W March LN Ste 125
Stockton, CA 95207-8224
Phone (209) 465-1080

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
I20240403001823 CA Practitioner - Marriage and Family Therapist 5597103002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of StanislausGroup PAC ID 0648183996, 19 clinicians

Practice addresses (Care Compare)

500 N 9TH St
Suite a
Modesto, CA 95350-5814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Stanislaus Current Accepting new patients
County of Stanislaus CurrentSince Feb 11, 2024 Accepting new patients
County of Stanislaus CurrentSince Feb 11, 2024 Accepting new patients
County of Stanislaus Current Accepting new patients
County of Stanislaus CurrentSince Feb 11, 2024 Accepting new patients
County of Stanislaus CurrentSince Feb 11, 2024 Accepting new patients
Victor Community Support Services, Inc. Past Accepting new patients

Locations

500 N 9th St
Ste B
Modesto, CA 95350
Phone (209) 341-1824

500 N 9th St
Ste A
Modesto, CA 95350
Phone (209) 525-5300

190 E Hackett Rd
Modesto, CA 95358
Phone (209) 525-7218

500 N 9th St
Ste C
Modesto, CA 95350
Phone (209) 552-2720

2101 Geer Rd
Ste 120
Turlock, CA 95382
Phone (209) 558-4598

Organizations & group practices 12

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": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1205280575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 W MARCH LN STE 125",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078224",
            "telephone_number": "209-465-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 W MARCH LN STE 125",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078224",
            "telephone_number": "209-465-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHARAJ",
        "first_name": "VINEEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.