Active NPI
Dmitry G Vulfovich, M.A. LMFT
- Marriage & Family Therapist
- Campbell, CA
National Provider Identifier
1306118955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 95964
- Practice address
- 595 Millich Dr Ste 102
Campbell, CA 95008-0550 - Phone
- (408) 472-2994
- NPI assigned
- Jan 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 95964 | CA | Primary |
Addresses
Primary practice location
595 Millich Dr Ste 102
Campbell, CA 95008-0550
Mailing address
595 Millich Dr Ste 102
Campbell, CA 95008-0550
Phone (408) 472-2994
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1306118955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 MILLICH DR STE 102",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080550",
"telephone_number": "408-472-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 MILLICH DR STE 102",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080550",
"telephone_number": "408-472-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VULFOVICH",
"first_name": "DMITRY",
"middle_name": "G",
"credential": "M.A. LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-28",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "95964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.