Individual provider Active NPI

Kayo Sumisaki, M.A., MFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1447407374
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC53952 Issued in CA
Practice address
2113 Woolsey Street
Berkeley, CA 94705
Phone
(510) 932-2020
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 51580 CA
Marriage & Family Therapist 106H00000X MFC53952 CA Primary

Addresses

Primary practice location

2113 Woolsey Street
Berkeley, CA 94705

Mailing address

P.O. Box 21064
El Sobrante, CA 94820
Phone (510) 932-2020

Other names 1

  • Margaret Kayo Sumisaki Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
51580CAMDMarriage & Family Therapist
MFC53952CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kayo Sumisaki LMFT a Licensed Marriage and Family Therapist Inc. Current Accepting new patients

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1447407374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 21064",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "94820",
            "telephone_number": "510-932-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 WOOLSEY STREET",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-932-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMISAKI",
        "first_name": "KAYO",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "51580",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC53952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "SUMISAKI",
            "middle_name": "KAYO",
            "credential": "M.A., MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.