Active NPI
Caitlyn Gray Kermit Oscarson, M.S. LMFT
- Marriage & Family Therapist
- Saratoga, CA
National Provider Identifier
1336344233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 51585
- Practice address
- 12961 Village Dr
Suite C
Saratoga, CA 95070-4158 - Phone
- (408) 641-8006
- Fax
- (408) 841-7575
- NPI assigned
- Jun 19, 2007
- Last updated
- Jan 14, 2015
- Sex
- Female
- Sole proprietor
- No
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 | MFC 51585 | CA | Primary |
Addresses
Primary practice location
12961 Village Dr
Suite C
Saratoga, CA 95070-4158
Mailing address
12961 Village Dr
Suite C
Saratoga, CA 95070-4158
Phone (408) 641-8006
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 51585 | CA | MD | Marriage & Family Therapist |
| 51585 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1336344233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12961 VILLAGE DR",
"address_2": "SUITE C",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950704158",
"telephone_number": "408-641-8006",
"fax_number": "408-841-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12961 VILLAGE DR",
"address_2": "SUITE C",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950704158",
"telephone_number": "408-641-8006",
"fax_number": "408-841-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSCARSON",
"first_name": "CAITLYN",
"middle_name": "GRAY KERMIT",
"credential": "M.S. LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 51585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.