Chauncey Peter Lamar Chatman, M.A., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

45560 Issued in CA

Practice address

2415 University Ave Ste 301
East Palo Alto, CA 94303-1148

Phone

(650) 363-4030

Fax

(650) 328-6834

NPI assigned

Jul 23, 2009

Sex

Male

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

• Peter Chatman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Mateo County

  • Community/Behavioral Health Agency
  • East Palo Alto, CA
  • NPI 1710086301

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1669602637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY AVE STE 301",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031148",
            "telephone_number": "650-363-4030",
            "fax_number": "650-631-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY AVE STE 301",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031148",
            "telephone_number": "650-363-4030",
            "fax_number": "650-328-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "CHAUNCEY",
        "middle_name": "PETER LAMAR",
        "credential": "M.A., MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "CHATMAN",
            "credential": "M.A., MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leticia Cardiel
• Sheila Castrillo
• Juanita Cervantes, NONE
• Randolph Chambers
• Neha Vinay Chandra, MD
• Jaime Chavarria, MD
• Juan Manuel Chavez, R.N.
• Elizabeth Chewning
• Children'S Health Coucil
• Children'S Health Council

• Marriage & Family Therapist in East Palo Alto, CA
• Providers in East Palo Alto, 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 Oct 29, 2021; 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.