Maite Acedo, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT40943 Issued in CA

Practice address

500 Tamal PLZ Ste 529
Corte Madera, CA 94925

Phone

(415) 786-7296

NPI assigned

Sep 22, 2006

Last updated

Feb 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maite Irune Acedo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 1, 2025 through Aug 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1275633182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TAMAL PLZ STE 529",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251187",
            "telephone_number": "415-786-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TAMAL PLZ STE 529",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "94925",
            "telephone_number": "415-786-7296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Kerner Blvd",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949014840",
            "country_code": "US",
            "telephone_number": "415-473-7581",
            "fax_number": "415-473-3080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 El Cerrito Plz",
            "address_purpose": "LOCATION",
            "city": "El Cerrito",
            "state": "CA",
            "postal_code": "945304022",
            "country_code": "US",
            "telephone_number": "415-786-7296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEDO",
        "first_name": "MAITE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT40943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAITE",
            "last_name": "ACEDO",
            "middle_name": "IRUNE",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Abunda
• Anita Lyn Acevedo, LCSW
• Pamela Lynne Aden, P.T.
• Lucy Haemin Ahn, PHARMD
• Briana Leslie Aitkenhead
• Megan Rae Allen, M.F.T.

• Marriage & Family Therapist in Corte Madera, CA
• Providers in Corte Madera, 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 Feb 25, 2019; 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.

Verify at the official NPI Registry.