Guadalupe Muniz

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

201 Alameda del Prado
Novato, CA 94949-6688

Phone

(415) 686-3204

NPI assigned

Nov 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Buckelew Programs

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1497587240
  NPD (past)

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1366044661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470665",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941470665",
            "telephone_number": "415-686-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALAMEDA DEL PRADO",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496688",
            "telephone_number": "415-686-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "GUADALUPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "guadalupem@buckelew.org",
            "affiliation": "Y",
            "affiliationName": "Buckelew Program",
            "address_1": "201 Alameda Del Prado",
            "address_2": "Suite 201",
            "city": "Novato",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949496698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Mozayani, O.D
• Ritu Mukerji-Metzger, MD
• Laura Mullen, MD
• Kelsi Mundell
• Louisa Linsley Munger, PA-C
• Barbara Murphy, PSYD
• James Timothy Murphy, M.D.
• Karen Ann Murphy, MOTR/L
• Nader M. Vafaie DMD MMSC Professional Corp
• Chelsea Namkung

• Counselor in Novato, CA
• Providers in Novato, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.