Individual provider Active NPI

Gayle Dendaas, M.A. M.F.T. C.H.T.

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1285867606
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 42160 Issued in CA
Practice address
94 Grandview Place
Walnut Creek, CA 94595
Phone
(925) 934-1074
Fax
(925) 938-2823
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 42160 CA Primary

Addresses

Primary practice location

94 Grandview Place
Walnut Creek, CA 94595

Mailing address

94 Grandview Place
Walnut Creek, CA 94595
Phone (925) 934-1074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFT 42160CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1285867606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 GRANDVIEW PLACE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94595",
            "telephone_number": "925-934-1074",
            "fax_number": "925-938-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 GRANDVIEW PLACE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94595",
            "telephone_number": "925-934-1074",
            "fax_number": "925-938-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENDAAS",
        "first_name": "GAYLE",
        "credential": "M.A. M.F.T. C.H.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 42160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.