Individual provider Active NPI

Dennis Bernard Facchino, PH.D.

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1306063144
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 9248 Issued in CA
Practice address
851 Fremont Ave
Suite 107
Los Altos, CA 94024-5698
Phone
(650) 917-9822
Fax
(650) 917-1580
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X MFT 9248 CA
Marriage & Family Therapist 106H00000X MFT 9248 CA Primary

Addresses

Primary practice location

851 Fremont Ave
Suite 107
Los Altos, CA 94024-5698

Mailing address

851 Fremont Ave
Suite 107
Los Altos, CA 94024-5698
Phone (650) 917-9822

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT 9248CAMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1306063144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE",
            "address_2": "SUITE 107",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245698",
            "telephone_number": "650-917-9822",
            "fax_number": "650-917-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE",
            "address_2": "SUITE 107",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245698",
            "telephone_number": "650-917-9822",
            "fax_number": "650-917-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCHINO",
        "first_name": "DENNIS",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "MFT 9248",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 9248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.