Individual provider Active NPI

Vanessa Beth Tate, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1285958157
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48163 Issued in CA
Practice address
55 New Montgomery St
Suite 804
San Francisco, CA 94105-3412
Phone
(415) 820-1661
Fax
(866) 232-8398
NPI assigned
Mar 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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 48163 CA Primary

Addresses

Primary practice location

55 New Montgomery St
Suite 804
San Francisco, CA 94105-3412

Mailing address

664 Sierra Point Rd
Brisbane, CA 94005-1622
Phone (415) 794-8327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48163CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1285958157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 SIERRA POINT RD",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051622",
            "telephone_number": "415-794-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NEW MONTGOMERY ST",
            "address_2": "SUITE 804",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053412",
            "telephone_number": "415-820-1661",
            "fax_number": "866-232-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "VANESSA",
        "middle_name": "BETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.