Individual provider Active NPI

Michael Brown, MFT

  • Marriage & Family Therapist
  • Los Gatos, CA
National Provider Identifier
1396905964
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45570 Issued in CA
Practice address
15495 Los Gatos Blvd
Suite 5
Los Gatos, CA 95032-2544
Phone
(408) 981-4224
Fax
(408) 884-9705
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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 45570 CA Primary

Addresses

Primary practice location

15495 Los Gatos Blvd
Suite 5
Los Gatos, CA 95032-2544

Mailing address

15495 Los Gatos Blvd
Suite 5
Los Gatos, CA 95032-2544
Phone (408) 981-4224

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

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1396905964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15495 LOS GATOS BLVD",
            "address_2": "SUITE 5",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322544",
            "telephone_number": "408-981-4224",
            "fax_number": "408-884-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15495 LOS GATOS BLVD",
            "address_2": "SUITE 5",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322544",
            "telephone_number": "408-981-4224",
            "fax_number": "408-884-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.