Individual provider Active NPI

Caitlin Walsh, PPS SC

  • School Counselor
  • Mountain View, CA
National Provider Identifier
1639512387
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
210244295 Issued in CA
Practice address
115 W Dana St
Mountain View, CA 94041-1406
Phone
(650) 526-3520
Fax
(650) 526-3520
NPI assigned
Apr 12, 2013
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 210244295 CA Primary
Marriage & Family Therapist 106H00000X 72675 CA

Addresses

Primary practice location

115 W Dana St
Mountain View, CA 94041-1406

Mailing address

115 W Dana St
Mountain View, CA 94041-1406
Phone (650) 526-3520

Other practice location 1

1486 Huntington Ave
Suite 100
South San Francisco, CA 94080-5970
Phone (650) 877-8642

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

LicenseStateTypeSpecialty
210244295CAMDSchool Counselor
72675CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Whisman School District Current Accepting new patients
Youth Service Bureau of the YMCA PastSince May 16, 2021 Accepting new patients

Organizations & group practices 2

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1639512387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W DANA ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411406",
            "telephone_number": "650-526-3520",
            "fax_number": "650-526-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W DANA ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411406",
            "telephone_number": "650-526-3520",
            "fax_number": "650-526-3520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1486 Huntington Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940805970",
            "country_code": "US",
            "telephone_number": "650-877-8642",
            "fax_number": "650-877-8643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "CAITLIN",
        "credential": "PPS SC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2024-11-07",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "210244295",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "72675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.