Individual provider Active NPI

Joan C Matt, MFT34941

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1497944276
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34941 Issued in CA
Practice address
210 Pinot CT
San Jose, CA 95119-1854
Phone
(408) 244-1834
Fax
(408) 244-5123
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC34941 CA Primary

Addresses

Primary practice location

210 Pinot CT
San Jose, CA 95119-1854

Mailing address

210 Pinot CT
San Jose, CA 95119-1854
Phone (408) 244-1834

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
MFC34941CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1497944276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PINOT CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191854",
            "telephone_number": "408-244-1834",
            "fax_number": "408-244-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PINOT CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191854",
            "telephone_number": "408-244-1834",
            "fax_number": "408-244-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATT",
        "first_name": "JOAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MFT34941",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.