Individual provider Active NPI

Kaila Sugiyama

  • Marriage & Family Therapist
  • Palo Alto, CA
National Provider Identifier
1437651932
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
650 Clark Way
Palo Alto, CA 94304-2300
Phone
(650) 326-5530
NPI assigned
Mar 1, 2018
Reactivated
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

650 Clark Way
Palo Alto, CA 94304-2300

Mailing address

1215 Block Dr
Santa Clara, CA 95050-4410

Other practice location 1

4030 Moorpark Ave
San Jose, CA 95117-4103
Phone (310) 856-0800

Other practice location 2

39845 Paseo Padre Pkwy
Fremont, CA 94538-2974
Phone (408) 475-7733

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1437651932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 BLOCK DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CLARK WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042300",
            "telephone_number": "650-326-5530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4030 Moorpark Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951174103",
            "country_code": "US",
            "telephone_number": "310-856-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39845 Paseo Padre Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382974",
            "country_code": "US",
            "telephone_number": "408-475-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGIYAMA",
        "first_name": "KAILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "deactivation_date": "2020-07-30",
        "reactivation_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.