Individual provider Active NPI

Calogero Giaimo, MFT

  • Marriage & Family Therapist
  • Watsonville, CA
National Provider Identifier
1588327746
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
9562 Issued in CA
Practice address
35 Magnifico Vita LN
Watsonville, CA 95076-0385
Phone
(831) 332-2177
Fax
(831) 332-2177
NPI assigned
Oct 14, 2021
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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 9562 CA Primary

Addresses

Primary practice location

35 Magnifico Vita LN
Watsonville, CA 95076-0385

Mailing address

PO Box 1215
Capitola, CA 95010-1215
Phone (831) 332-2177

Other names 1

  • Calogero Giaimo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325002969 CA Practitioner - Marriage and Family Therapist 7012354194 Practice locations: Watsonville, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9562CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1588327746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950101215",
            "telephone_number": "831-332-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MAGNIFICO VITA LN",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950760385",
            "telephone_number": "831-332-2177",
            "fax_number": "831-332-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAIMO",
        "first_name": "CALOGERO",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "9562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALOGERO",
            "last_name": "GIAIMO",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.