Laura E Tannenwald, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC33555 Issued in CA

Practice address

4546 El Camino Real Ste 235
Los Altos, CA 94022-1041

Phone

(619) 857-6332

NPI assigned

Feb 1, 2007

Last updated

Nov 6, 2022By 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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1417095548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51904",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943030739",
            "telephone_number": "619-857-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL STE 235",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221041",
            "telephone_number": "619-857-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENWALD",
        "first_name": "LAURA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Tamas, PHD
• Amanda Tan Xueling
• Irene Ching-Ping Tan, D.D.S.
• Paul Tang, M.D.
• Lisa Marie Tannehill
• Tanuja Sunil Gosavi DDS Inc (Los Altos Dental Group)
• Taylor M. Moore Chiropractic Corporation
• Laurence H. Tecott, M.D.
• Hila Teller, LCSW
• The Healthy Pelvis (Healthy Pelvis Physical Therapy)

• 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 Nov 6, 2022; 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.