Active NPI
Juliette Leonore Delventhal, MA
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1669069290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 3702 Sacramento St
San Francisco, CA 94118-1740 - Phone
- (415) 323-8252
- NPI assigned
- Dec 29, 2020
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
3702 Sacramento St
San Francisco, CA 94118-1740
Mailing address
PO Box 204
Bolinas, CA 94924-0204
Phone (415) 323-8252
Other practice location 1
333 Miller Ave Ste 2
Mill Valley, CA 94941-2894
Phone (415) 323-8252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1669069290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 204",
"city": "BOLINAS",
"state": "CA",
"postal_code": "949240204",
"telephone_number": "415-323-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 SACRAMENTO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181740",
"telephone_number": "415-323-8252"
}
],
"practiceLocations": [
{
"address_1": "333 Miller Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Mill Valley",
"state": "CA",
"postal_code": "949412894",
"country_code": "US",
"telephone_number": "415-323-8252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELVENTHAL",
"first_name": "JULIETTE",
"middle_name": "LEONORE",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.