Active NPI
Jessica Noryko, MFTI
- Marriage & Family Therapist
- San Mateo, CA
National Provider Identifier
1477700615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 71313
- Practice address
- 2000 Alameda de Las Pulgas
Suite 200
San Mateo, CA 94403-1269 - Phone
- (650) 312-5350
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 71313 | CA | Primary |
Addresses
Primary practice location
2000 Alameda de Las Pulgas
Suite 200
San Mateo, CA 94403-1269
Mailing address
2000 Alameda de Las Pulgas
Suite 200
San Mateo, CA 94403-1269
Other names 1
- Jessica Gullo
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71313 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Past | Accepting new patients | |
| San Mateo County Aging & Disability Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Redwood City, CA
- NPI 1528432481
-
- Point of Service
- San Mateo, CA
- NPI 1609290030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1477700615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 ALAMEDA DE LAS PULGAS",
"address_2": "SUITE 200",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 ALAMEDA DE LAS PULGAS",
"address_2": "SUITE 200",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031269",
"telephone_number": "650-312-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORYKO",
"first_name": "JESSICA",
"credential": "MFTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "71313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GULLO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.