Prajakta Godbole

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

46525 Issued in CA

Practice address

115 Town and Country Dr
Danville, CA 94526-3960

Phone

(925) 837-0505

NPI assigned

May 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Richmond, CA
  • NPI 1235226531
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245498575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115A TOWN AND COUNTRY DR # A",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263924",
            "telephone_number": "026-837-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TOWN AND COUNTRY DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263960",
            "telephone_number": "925-837-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 W Julian St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951262719",
            "country_code": "US",
            "telephone_number": "408-292-9353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 W Julian St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951262719",
            "country_code": "US",
            "telephone_number": "408-292-9353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODBOLE",
        "first_name": "PRAJAKTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46525",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Renee Gigounas, MSN, RN, FNP
• Charles Louis Giolzetti
• Hayes Bordman Gladstone, MD
• Bradley J Glenn, MD
• Marcia Mary Glick, PHARM.D.
• Christyan Oswaldo Godinez Villalobos
• Susanne Goeb, PA-C
• Golden State Stroke and Neurocritical Care, Inc.
• Rachelle Pavao Goldenberg, LCSW
• Julia Golub

• Marriage & Family Therapist in Danville, CA
• Providers in Danville, 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 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.