Active NPI
Danielle Pinson Seybold, LMFT
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1245888320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 103742
- Practice address
- 1760 The Alameda Ste 100
San Jose, CA 95126-1728 - Phone
- (408) 617-8409
- NPI assigned
- Aug 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 103742 | CA | Primary |
Addresses
Primary practice location
1760 The Alameda Ste 100
San Jose, CA 95126-1728
Mailing address
3465 Notre Dame Dr
Santa Clara, CA 95051-1516
Phone (408) 674-6009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133767 | Other | BBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 9, 2024 through Jul 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103742 | CA | MD | Marriage & Family Therapist |
| 133767 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1245888320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 NOTRE DAME DR",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950511516",
"telephone_number": "408-674-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 THE ALAMEDA STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261728",
"telephone_number": "408-617-8409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYBOLD",
"first_name": "DANIELLE",
"middle_name": "PINSON",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-31",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "103742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS",
"identifier": "133767",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.