Active NPI
Karimar Santiago, LMFT
- Marriage & Family Therapist
- Half Moon Bay, CA
National Provider Identifier
1356513576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 92760
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 92760 | CA | MD | Clinical Social Worker |
| IMF 55663 | CA | MD | Marriage & Family Therapist |
| 3054 | PR | MD | Pharmacist |
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.