Active NPI
Wendy Alicia Mosqueda, MFT - 1
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1629117676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 48803
- Practice address
- 650 S Bascom Ave
San Jose, CA 95128-2601 - Phone
- (408) 793-5870
- Fax
- (408) 275-6716
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 48803 | CA | Primary |
Addresses
Primary practice location
650 S Bascom Ave
San Jose, CA 95128-2601
Mailing address
2291 Valley View Rd
Hollister, CA 95023-8000
Phone (408) 528-5886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 48803 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin Behavioral Health Ma PC | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629117676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2291 VALLEY VIEW RD",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950238000",
"telephone_number": "408-528-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282601",
"telephone_number": "408-793-5870",
"fax_number": "408-275-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSQUEDA",
"first_name": "WENDY",
"middle_name": "ALICIA",
"name_prefix": "Ms.",
"credential": "MFT - 1",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 48803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- 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.