Individual provider Active NPI

Nicholas Philip Zwerdling, LMFT

  • Marriage & Family Therapist
  • Belmont, CA
National Provider Identifier
1689087884
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107499 Issued in NU
Practice address
262 Harbor Blvd
Belmont, CA 94002-4017
Phone
(650) 385-9872
NPI assigned
Jun 5, 2014
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 75759 CA
Marriage & Family Therapist 106H00000X 107499 NU Primary

Addresses

Primary practice location

262 Harbor Blvd
Belmont, CA 94002-4017

Mailing address

262 Harbor Blvd
Belmont, CA 94002-4017
Phone (650) 385-9872

Other practice location 1

2210 Clay St
San Francisco, CA 94115-1930
Phone (415) 776-4647

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
I20240501003939 CA Practitioner - Marriage and Family Therapist 3476993817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75759CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathwork Family Therapy Inc Marriage & Family Therapist Current Accepting new patients
County of San Mateo CurrentSince Feb 26, 2024 Accepting new patients
County of San Mateo Current Accepting new patients
San Mateo County CurrentSince Feb 26, 2024 Accepting new patients
Progress Foundation Past Accepting new patients

Locations

375 89th St
Daly City, CA 94015
Phone (650) 301-8648

802 Brewster Ave
Redwood City, CA 94063
Phone (650) 363-4111

1950 Alameda de las Pulgas
San Mateo, CA 94403
Phone (650) 573-3571

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1689087884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 HARBOR BLVD",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940024017",
            "telephone_number": "650-385-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 HARBOR BLVD",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940024017",
            "telephone_number": "650-385-9872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Clay St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151930",
            "country_code": "US",
            "telephone_number": "415-776-4647",
            "fax_number": "415-776-1018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZWERDLING",
        "first_name": "NICHOLAS",
        "middle_name": "PHILIP",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "75759",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": "107499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

Verify at the official NPI Registry.