Individual provider Active NPI

Teresa Dillon Scott, MFTINTERN

  • Marriage & Family Therapist
  • Sunnyvale, CA
National Provider Identifier
1215340526
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
80090 Issued in CA
Practice address
1641 Belleville Way Apt O
Sunnyvale, CA 94087-3930
Phone
(415) 370-6760
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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 80090 CA Primary

Addresses

Primary practice location

1641 Belleville Way Apt O
Sunnyvale, CA 94087-3930

Mailing address

1641 Belleville Way Apt O
Sunnyvale, CA 94087-3930
Phone (415) 370-6760

Other names 1

  • Teresa Dillon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1215340526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 BELLEVILLE WAY APT O",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873930",
            "telephone_number": "415-370-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 BELLEVILLE WAY APT O",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873930",
            "telephone_number": "415-370-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TERESA",
        "middle_name": "DILLON",
        "credential": "MFTINTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "DILLON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.