Individual provider Active NPI

Teena Scovis, LMFT, PH.D.

  • Marriage & Family Therapist
  • Kentfield, CA
National Provider Identifier
1396282786
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
32038 Issued in CA
Practice address
905 Sir Francis Drake Blvd
Suite D
Kentfield, CA 94904-1588
Phone
(415) 272-9111
NPI assigned
Jan 24, 2017
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 32038 CA Primary

Addresses

Primary practice location

905 Sir Francis Drake Blvd
Suite D
Kentfield, CA 94904-1588

Mailing address

905 Sir Francis Drake Blvd
Suite D
Kentfield, CA 94904-1588
Phone (415) 272-9111

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1396282786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE D",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041588",
            "telephone_number": "415-272-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE D",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041588",
            "telephone_number": "415-272-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVIS",
        "first_name": "TEENA",
        "name_prefix": "Dr.",
        "credential": "LMFT, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "32038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.