Maelise Blosse

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

98865 Issued in CA

Practice address

2090 Evans LN
San Jose, CA 95125-2072

Phone

(650) 591-9623

NPI assigned

Sep 15, 2014

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1477954006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 ELM ST",
            "address_2": "SUITE 212",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940708401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 EVANS LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252072",
            "telephone_number": "650-591-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSSE",
        "first_name": "MAELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne P Blockie, MFT
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• Bloom ABA
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• Matthew Brandon Bloom, M.D.
• Blossom Dental Excellence, Inc
• Blossom Hill Dental Clinic
• Blossom Valley Eyecare
• Blossom Valley Optometry, Inc
• Blossoming Voices

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, 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 Mar 5, 2019; 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.