Individual provider Active NPI

Corina Dorothy Vitale

  • Counselor
  • Novato, CA
National Provider Identifier
1669087474
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1385 N Hamilton Pkwy
Novato, CA 94949-8276
Phone
(415) 382-3363
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1385 N Hamilton Pkwy
Novato, CA 94949-8276

Mailing address

1385 N Hamilton Pkwy
Novato, CA 94949-8276
Phone (415) 382-3363

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherHOUSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cvitale@hbofm.org Other

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

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1669087474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 N HAMILTON PKWY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949498276",
            "telephone_number": "415-382-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 N HAMILTON PKWY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949498276",
            "telephone_number": "415-382-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "CORINA",
        "middle_name": "DOROTHY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOUSING",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cvitale@hbofm.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "County Contract",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Progress Notes",
            "address_1": "707 W Verano Ave.",
            "city": "Sonoma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.