Seny Madriz Fajardo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

908 Sierra Dr
Modesto, CA 95351-3254

Phone

(209) 492-9785

Fax

(209) 492-9174

NPI assigned

May 4, 2022

Last updated

May 4, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sierra Vista Drop in Center

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1245637230
  NPD (past)

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1609511575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16817 MYERS LN",
            "city": "DELHI",
            "state": "CA",
            "postal_code": "953159259",
            "telephone_number": "209-648-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SIERRA DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953513254",
            "telephone_number": "209-492-9785",
            "fax_number": "209-492-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIZ FAJARDO",
        "first_name": "SENY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Luis Madrigal, RN
• Laura Stephanie Madrigal
• Maria Elena Madrigal
• Marisela Madrigal
• Valerie Madrigal
• Katherine Elizabeth Madsen, N.P.
• Mark J. Madsen, PA
• Nikki Madson
• Misao Emily Maeyama, MA, LPCC
• Sepideh Maftoun-Banankhah, MD

• Professional Counselor in Modesto, CA
• Providers in Modesto, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.