Individual provider Active NPI

Moitreyee Chowdhury

  • Marriage & Family Therapist
  • Palo Alto, CA
National Provider Identifier
1437638053
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121934 Issued in CA
Practice address
220 California Ave Ste 105
Palo Alto, CA 94306-1627
Phone
(650) 206-9448
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 121934 CA Primary

Addresses

Primary practice location

220 California Ave Ste 105
Palo Alto, CA 94306-1627

Mailing address

220 California Ave Ste 105
Palo Alto, CA 94306-1627
Phone (510) 676-3681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 19, 2024 through Feb 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121934CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leela Mental Health, Family Therapy Corporation Marriage & Family Therapist CurrentSince Feb 11, 2024 Accepting new patients

Locations

220 California Ave
Ste 105
Palo Alto, CA 94306
Phone (650) 206-9448

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1437638053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA AVE STE 105",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061627",
            "telephone_number": "510-676-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA AVE STE 105",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061627",
            "telephone_number": "650-206-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "MOITREYEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.