Active NPI
Samuel Paul Donath
- Marriage & Family Therapist
- Menlo Park, CA
National Provider Identifier
1205334711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT121544
- Practice address
- 3705 Haven Ave Ste 119
Menlo Park, CA 94025-1011 - Phone
- (650) 289-8603
- NPI assigned
- Jan 30, 2018
- Last updated
- Sep 7, 2020
- Sex
- Male
- Sole proprietor
- No
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 | LMFT121544 | CA | Primary |
Addresses
Primary practice location
3705 Haven Ave Ste 119
Menlo Park, CA 94025-1011
Mailing address
3705 Haven Ave Ste 119
Menlo Park, CA 94025-1011
Phone (916) 666-2759
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 |
|---|---|---|---|
| LMFT121544 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1205334711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 HAVEN AVE STE 119",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940251011",
"telephone_number": "916-666-2759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 HAVEN AVE STE 119",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940251011",
"telephone_number": "650-289-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONATH",
"first_name": "SAMUEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-30",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT121544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.