Jodi Pallett, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

45420 Issued in CA

Practice address

1621 Bald Eagle Rd
Arnold, MD 21012-2515

Phone

(410) 991-9675

NPI assigned

Sep 23, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shine Medical of Ca PC

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1942935473
  NPD (past)

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1285357285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 BALD EAGLE RD",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 BALD EAGLE RD",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122515",
            "telephone_number": "410-991-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLETT",
        "first_name": "JODI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BetterHelp.com",
            "affiliation": "N",
            "endpointDescription": "on-line counseling platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client notes",
            "address_1": "2211 S Scyene Way",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837128532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renata Ordon, R.D.
• Daren Wayne Osborn, D.C.
• Charity Osei-Bonnah
• Arika Otani, ED.D.
• Amy Lynn Owens, PTA, LMT
• Michele Ann Pallotta, LAT, ATC, M.ED.,
• August Constantine Pasquale III, M.D.
• Rachna R Patel
• Vaibhav N Patel
• Rita Arpino Patterson

• Marriage & Family Therapist in Arnold, MD
• Providers in Arnold, MD by specialty
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.