Individual provider Active NPI

Sunita Roychoudhury

  • Marriage & Family Therapist
  • Martinez, CA
National Provider Identifier
1467827881
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT103569 Issued in CA
Practice address
1320 Arnold Dr
#170
Martinez, CA 94553-6537
Phone
(925) 372-4213
Fax
(925) 373-4216
NPI assigned
Dec 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X #1778 CA
Marriage & Family Therapist 106H00000X LMFT103569 CA Primary

Addresses

Primary practice location

1320 Arnold Dr
#170
Martinez, CA 94553-6537

Mailing address

1320 Arnold Dr
#170
Martinez, CA 94553-6537
Phone (925) 322-1256

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

State licenses

LicenseStateTypeSpecialty
#1778CAMDProfessional Counselor
LMFT103569CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ywca of Contra Costa & Sacramento Past Accepting new patients
Y.W.C.a. of Contra Costa/ Sac. County Marriage & Family Therapist Past Accepting new patients
Mind-Body Care, Inc. PastSince May 3, 2015 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1467827881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ARNOLD DR",
            "address_2": "#170",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536537",
            "telephone_number": "925-322-1256",
            "fax_number": "925-372-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ARNOLD DR",
            "address_2": "#170",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536537",
            "telephone_number": "925-372-4213",
            "fax_number": "925-373-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYCHOUDHURY",
        "first_name": "SUNITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "#1778",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT103569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.