Michelle Fan, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

158916 Issued in CA

Practice address

1575 Old Bayshore Hwy Ste 201
Burlingame, CA 94010-1616

Phone

(800) 913-2615

NPI assigned

Nov 5, 2025

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.

• LGTC Group

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1881482941
  NPD
• WK Medical Group

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1588083992

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1467322503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 OLD BAYSHORE HWY STE 201",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 OLD BAYSHORE HWY STE 201",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101616",
            "telephone_number": "800-913-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "MICHELLE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "158916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express Rehab
• Express Rehab
• F. Tortorice, M.D. Professional Corporation
• F&T 900 Inc
• Family Care at Home
• Francesca Fanucchi
• Mehran Farid-Moayer, M.D.
• Margaret Hannah Farrell, LMFT
• Emma Featherstone
• Connor Fenech

• Marriage & Family Therapist in Burlingame, CA
• Providers in Burlingame, 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 Nov 5, 2025; 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.