Connie Mariela Picazo, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFTI: 64256 Issued in CA

Practice address

777 N 1St St
San Jose, CA 95112-6337

Phone

(408) 240-0070

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1245357763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5356 MAKATI CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236248",
            "telephone_number": "408-391-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126337",
            "telephone_number": "408-240-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICAZO",
        "first_name": "CONNIE",
        "middle_name": "MARIELA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFTI: 64256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy D. Pi, MD
• Yage Pi
• Zhen En Piao, PHD L AC
• Desirae Pica
• Ofelia Jesus Picanco, LCSW
• Arlene Piceno
• Christy Picetti
• Allison Jean Pichardo
• Judith C. Pick, BC-HIS
• Bruce Pickett

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, 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 Mar 22, 2013; 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.