Mary Jo P Garnett, MS LMFT

Primary specialty

PsychologistTaxonomy code 103T00000X

License

CA#LMFT19440 Issued in CA

Practice address

2024 W Lincoln Avenue
Suite 2
Anaheim, CA 92801

Phone

(714) 772-1059

Fax

(714) 952-2093

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Mary Jo P Sicuro Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598822066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7439 LA PALMA AVENUE",
            "address_2": "PMB #251",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "901202655",
            "telephone_number": "714-722-1059",
            "fax_number": "714-952-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W LINCOLN AVENUE",
            "address_2": "SUITE 2",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-772-1059",
            "fax_number": "714-952-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNETT",
        "first_name": "MARY JO",
        "middle_name": "P",
        "credential": "MS LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "CA#LMFT19440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JO",
            "last_name": "SICURO",
            "middle_name": "P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rajan Garg, MD
• Joceline Garibay
• Kira Garland
• Meghan Garlington
• Stacie Lee Garner, P. T.
• Camila Garnica
• Tyler Javon Garrett
• Haley Garrucho
• Theresa Gartner-Scott, LCSW
• Katelyn Garton

• Psychologist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.