Divadiversity

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

DIVADIVERSITY

Practice address

1171 Homestead Rd Ste 220
Santa Clara, CA 95050-5485

Phone

(833) 256-4225

Fax

(408) 904-7444

NPI assigned

Oct 2, 2016

Organization subpart

No

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

Authorized official

Name

Arlene Ticoulet, LMFT

Title

Ceo

Phone

(833) 256-4225

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1475366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1548719545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 HOMESTEAD RD STE 220",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505485",
            "telephone_number": "833-256-4225",
            "fax_number": "408-904-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 HOMESTEAD RD STE 220",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505485",
            "telephone_number": "833-256-4225",
            "fax_number": "408-904-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVADIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-02",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "TICOULET",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-256-4225",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayasudha Dintakurthi
• Einar Vitug Dionisio
• Michelle Olive Dionne
• Teresa Chrisitine Dionne, FNP-C, MSN
• Emily Trudeau Dipiero, M.S., CCC-SLP
• Genavae Pierre Dixon
• Patricia E. Dixon, M.S,
• Robert Conner Dixon, M.D.
• Maria Salcedo Dizon, RN
• Vy T DO Huynh

• Marriage & Family Therapist in Santa Clara, CA
• Providers in Santa Clara, 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 31, 2020; 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.