Katherine O'Blennis Yvanovich, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

142635 Issued in CA

Practice address

4010 Moorpark Ave Ste 118
San Jose, CA 95117-1803

Phone

(650) 297-3400

NPI assigned

Aug 13, 2024

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

Practice roles

Locations

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.

• Mindful Child & Family Therapy, Inc

  • Marriage & Family Therapist
  • Los Altos, CA
  • NPI 1780156877
  NPD

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1427889161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 DRY CREEK RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254619",
            "telephone_number": "408-421-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MOORPARK AVE STE 118",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171803",
            "telephone_number": "650-297-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BLENNIS YVANOVICH",
        "first_name": "KATHERINE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thandar Nyunt
• Chidi O Nnana
• Zoe O Sullivan
• O' Connor Family Medicine Residency Program
• Doris Jean O' Neal, LCSW
• John Grant O'Brien, PHARMD
• Ronald L. O'Brien, D.D.S.
• Sara O'Brien
• Yvonne O'Brien
• Chandra O'Connell

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, 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 Aug 13, 2024; 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.