Active NPI
Pamela Gonzalez
- Marriage & Family Therapist
- San Mateo, CA
National Provider Identifier
1700253960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF84253
- Practice address
- 1950 Alameda de Las Pulgas
San Mateo, CA 94497-3070 - Phone
- (650) 573-2380
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | IMF84253 | CA | Primary |
Addresses
Primary practice location
1950 Alameda de Las Pulgas
San Mateo, CA 94497-3070
Mailing address
3317 Alma St
Palo Alto, CA 94306-3502
Phone (520) 981-0322
Other practice location 1
610 Elm St Ste 212
San Carlos, CA 94070-3070
Phone (650) 591-9623
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF84253 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1700253960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 ALMA ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943063502",
"telephone_number": "520-981-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 ALAMEDA DE LAS PULGAS",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944973070",
"telephone_number": "650-573-2380"
}
],
"practiceLocations": [
{
"address_1": "610 Elm St Ste 212",
"address_purpose": "LOCATION",
"city": "San Carlos",
"state": "CA",
"postal_code": "940703070",
"country_code": "US",
"telephone_number": "650-591-9623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF84253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.