Individual provider Active NPI

Marjory Jayne Giustino, MFT

  • Marriage & Family Therapist
  • San Ramon, CA
National Provider Identifier
1679610174
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 44232 Issued in CA
Practice address
2551 San Ramon Valley Blvd Ste 202
San Ramon, CA 94583-1661
Phone
(925) 989-2934
Fax
(925) 398-8533
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 44232 CA Primary

Addresses

Primary practice location

2551 San Ramon Valley Blvd Ste 202
San Ramon, CA 94583-1661

Mailing address

PO Box 53
Pleasanton, CA 94566-0005
Phone (925) 989-2934

Other identifiers 1

IdentifierTypeStateIssuer
MFC 44232OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207000147 CA Practitioner - Marriage and Family Therapist 2466895461 Practice locations: Pleasanton, CA; San Ramon, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Pleasanton, CA 94566
Phone (925) 989-2934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 44232CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1679610174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945660005",
            "telephone_number": "925-989-2934",
            "fax_number": "925-398-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 SAN RAMON VALLEY BLVD STE 202",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831661",
            "telephone_number": "925-989-2934",
            "fax_number": "925-398-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUSTINO",
        "first_name": "MARJORY",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MFC 44232",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.