Vitel Born, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

164737 Issued in CA

Practice address

3130 La Selva St Ste 300
San Mateo, CA 94403-2192

Phone

(650) 223-5605

NPI assigned

Jul 2, 2024

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vita Born Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Community Institute for Psychotherapy

  • Voluntary or Charitable Agency
  • San Rafael, CA
  • NPI 1760403794
  NPD (past)
• Community Institute for Psychotherapy

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1780995258
  NPD (past)
• Izzo Marriage & Family Therapy PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Mateo, CA
  • NPI 1518557552
  NPD (past)

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1669218384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OAK AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602703",
            "telephone_number": "718-915-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 LA SELVA ST STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032192",
            "telephone_number": "650-223-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 El Camino Real Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940702451",
            "country_code": "US",
            "telephone_number": "650-223-5605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORN",
        "first_name": "VITEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "164737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VITA",
            "last_name": "BORN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas Edward Booth, MD
• Jacob Boots
• Eve Marie Bordoli, MS, CCC-SLP
• Heather Rae Borges, SUDRC 21446
• Taylor Darling Borges
• Harriet Beth Borofsky, M.D.
• Rachel Marie Borovina, MD
• Diana Borromeo
• Diana Bortolus, SUDRC #13485
• Ariane Bosch, PA-C

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.