Individual provider Active NPI

Maria Cusimano-Carl, LMFT

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1689177859
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT39420 Issued in CA
Practice address
8030 Soquel Ave Ste 103
Santa Cruz, CA 95062-2096
Phone
(831) 476-1747
Fax
(831) 476-1125
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT39420 CA Primary

Addresses

Primary practice location

8030 Soquel Ave Ste 103
Santa Cruz, CA 95062-2096

Mailing address

8030 Soquel Ave Ste 103
Santa Cruz, CA 95062-2096
Phone (831) 476-1747

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

State licenses

LicenseStateTypeSpecialty
MFT39420CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rikki Rap Inc. Single Specialty Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1689177859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 SOQUEL AVE STE 103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622096",
            "telephone_number": "831-476-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 SOQUEL AVE STE 103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622096",
            "telephone_number": "831-476-1747",
            "fax_number": "831-476-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSIMANO-CARL",
        "first_name": "MARIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT39420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.