Individual provider Active NPI

Karimar Santiago, LMFT

  • Marriage & Family Therapist
  • Half Moon Bay, CA
National Provider Identifier
1356513576
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92760 Issued in CA
Practice address
225 Cabrillo Hwy S Ste 200a
Half Moon Bay, CA 94019-7210
Phone
(650) 573-3670
Fax
(650) 726-4963
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3054 PR
Marriage & Family Therapist 106H00000X IMF 55663 CA
Marriage & Family Therapist 106H00000X 92760 CA Primary

Addresses

Primary practice location

225 Cabrillo Hwy S Ste 200a
Half Moon Bay, CA 94019-7210

Mailing address

225 Cabrillo Hwy S Ste 200a
Half Moon Bay, CA 94019-7210
Phone (650) 573-3670

Other practice location 1

480 Manor Plz
Pacifica, CA 94044-1839
Phone (650) 355-8787 ext. 49

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

State licenses

LicenseStateTypeSpecialty
92760CAMDClinical Social Worker
IMF 55663CAMDMarriage & Family Therapist
3054PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1356513576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CABRILLO HWY S STE 200A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940197210",
            "telephone_number": "650-573-3670",
            "fax_number": "650-726-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CABRILLO HWY S STE 200A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940197210",
            "telephone_number": "650-573-3670",
            "fax_number": "650-726-4963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Manor Plz",
            "address_purpose": "LOCATION",
            "city": "Pacifica",
            "state": "CA",
            "postal_code": "940441839",
            "country_code": "US",
            "telephone_number": "650-355-8787 x49",
            "fax_number": "650-342-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "KARIMAR",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3054",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 55663",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.