Active NPI
MJ Myatt, LCSW
- Mental Health Counselor
- Palo Alto, CA
National Provider Identifier
1649308024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8358
- Practice address
- 935 Middlefield Road
Palo Alto, CA 94301 - Phone
- (650) 520-8089
- Fax
- (650) 326-1260
- NPI assigned
- Feb 28, 2007
- Last updated
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8358 | CA | Primary |
Addresses
Primary practice location
935 Middlefield Road
Palo Alto, CA 94301
Mailing address
935 Middlefield Road
Palo Alto, CA 94301
Phone (650) 520-8089
Other names 1
- MJ Myatt Loughran
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8358 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1649308024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 MIDDLEFIELD ROAD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94301",
"telephone_number": "650-520-8089",
"fax_number": "650-326-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 MIDDLEFIELD ROAD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94301",
"telephone_number": "650-520-8089",
"fax_number": "650-326-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYATT",
"first_name": "MJ",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "8358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MJ",
"last_name": "LOUGHRAN",
"middle_name": "MYATT",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.