Individual provider Active NPI

Brenda C Joe-Matsuo, M.S., MFT

  • Marriage & Family Therapist
  • Fremont, CA
National Provider Identifier
1316148778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37687 Issued in CA
Practice address
39155 Liberty Street
Suite E500
Fremont, CA 94537-5006
Phone
(510) 574-2100
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC37687 CA Primary

Addresses

Primary practice location

39155 Liberty Street
Suite E500
Fremont, CA 94537-5006

Mailing address

947 Aruba LN
Foster City, CA 94404-3801
Phone (650) 341-5070

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 Science

State licenses

LicenseStateTypeSpecialty
MFC37687CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316148778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 ARUBA LN",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944043801",
            "telephone_number": "650-341-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39155 LIBERTY STREET",
            "address_2": "SUITE E500",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945375006",
            "telephone_number": "510-574-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE-MATSUO",
        "first_name": "BRENDA",
        "middle_name": "C",
        "credential": "M.S., MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.