Jasmin Sundar Bomanjee
Individual provider Active NPI Marriage & Family Therapist · Pacifica, CA
NPI 1437459690 · NPPES record last updated Oct 21, 2010
Key facts
- NPI
- 1437459690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 480 Manor PLZ
Pacifica, CA 94044-1839 - Phone
- (650) 355-8787
- NPI assigned
- Oct 21, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| School Counselor | 101YS0200X | |||
| Marriage & Family Therapist | 106H00000X | Yes | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
480 Manor PLZ
Pacifica, CA 94044-1839
Mailing address
480 Manor PLZ
Pacifica, CA 94044-1839
Phone (650) 355-8787
Other providers in Pacifica, CA
- Best Healthcare Access Norcal
- Xuan Bi
- Diane Blake
- Donna Maria Blethen
- Karen Bohall
- Cindy Boxerman
- Azia Brown
- Jeffrey Joseph Bruno
- Albert E. Burns
- William Maxwell Burns
All providers in Pacifica, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.