Jenisa Nazzaro, MA, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

200 Baltic Cir
Unit 238
Redwood City, CA 94065-2222

Phone

(650) 740-4888

NPI assigned

Feb 26, 2015

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

Credentials

Master of Arts

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1477945590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BALTIC CIR",
            "address_2": "UNIT 238",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940652222",
            "telephone_number": "650-740-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BALTIC CIR",
            "address_2": "UNIT 238",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940652222",
            "telephone_number": "650-740-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZZARO",
        "first_name": "JENISA",
        "credential": "MA, MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Redwood City, CA
• Providers in Redwood City, 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 Feb 26, 2015; 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.