Individual provider Active NPI

Jonathan Noel Frecceri, M.A., LMFT

  • Marriage & Family Therapist
  • Palo Alto, CA
National Provider Identifier
1679764468
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 53918 Issued in CA
Practice address
660 Middlefield Rd
Suite B
Palo Alto, CA 94301-2125
Phone
(408) 642-8542
Fax
(650) 319-4212
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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 53918 CA Primary

Addresses

Primary practice location

660 Middlefield Rd
Suite B
Palo Alto, CA 94301-2125

Mailing address

660 Middlefield Rd
Suite B
Palo Alto, CA 94301-2125
Phone (408) 642-8542

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 53918CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1679764468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MIDDLEFIELD RD",
            "address_2": "SUITE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012125",
            "telephone_number": "408-642-8542",
            "fax_number": "650-319-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MIDDLEFIELD RD",
            "address_2": "SUITE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012125",
            "telephone_number": "408-642-8542",
            "fax_number": "650-319-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRECCERI",
        "first_name": "JONATHAN",
        "middle_name": "NOEL",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 53918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.