Lisa Marie Tannehill

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

126325 Issued in CA

Practice address

851 Fremont Ave Ste 99
Los Altos, CA 94024-5602

Phone

(510) 316-8546

NPI assigned

Feb 15, 2020

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1376176578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3789 BOULDER CANYON DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525422",
            "telephone_number": "510-316-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE STE 99",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245602",
            "telephone_number": "510-316-8546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1422 4th St",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044059",
            "country_code": "US",
            "telephone_number": "707-800-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1622 4th St",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044020",
            "country_code": "US",
            "telephone_number": "707-800-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNEHILL",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-15",
        "last_updated": "2021-07-07",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Disha Sandip Talajiya
• Melissa Tamas, PHD
• Amanda Tan Xueling
• Irene Ching-Ping Tan, D.D.S.
• Paul Tang, M.D.
• Laura E Tannenwald, MFT
• Tanuja Sunil Gosavi DDS Inc (Los Altos Dental Group)
• Taylor M. Moore Chiropractic Corporation
• Laurence H. Tecott, M.D.
• Hila Teller, LCSW

• Marriage & Family Therapist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.