Awake DBT Marriage and Family Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

43603 Issued in CA

Legal business name

AWAKE DBT MARRIAGE AND FAMILY THERAPY, INC.

Practice address

913 Willow St Ste 202
San Jose, CA 95125-2380

Phone

(408) 375-6301

Fax

(408) 693-3738

NPI assigned

Aug 19, 2015

Last updated

Aug 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee Joann Sanguinetti, MFT

Title

President, Ceo

Phone

(408) 375-6301

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1568838985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 WILLOW ST STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252380",
            "telephone_number": "408-375-6301",
            "fax_number": "408-693-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 WILLOW ST STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252380",
            "telephone_number": "408-375-6301",
            "fax_number": "408-693-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKE DBT MARRIAGE AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "SANGUINETTI",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "408-375-6301",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Reddy Avula, M.D
• Silpa Avula, M.D.
• Avyra Medical Billing LLC
• Leen Awad, M.D.
• Heba Awadalla
• Awakening Acupuncture Inc.
• Baarkullah K Awan, MD
• Syra Saqib Awan
• Suzu Awano
• Awe

• 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 Aug 19, 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.