Active NPI
Cindy Priyanto
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1700394020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 130423
- Practice address
- 160 E Virginia St Ste 280
San Jose, CA 95112-5817 - Phone
- (408) 287-6200
- NPI assigned
- Jan 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 130423 | CA | Primary |
Addresses
Primary practice location
160 E Virginia St Ste 280
San Jose, CA 95112-5817
Mailing address
160 E Virginia St
San Jose, CA 95112-5857
Phone (408) 287-6200
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 |
|---|---|---|---|
| 130423 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gardner Family Health Network, Inc. | Current | Accepting new patients |
Locations
160 E Virginia St
Ste 280
San Jose, CA 95112
Phone (408) 457-7100
160 E Virginia St
San Jose, CA 95112
Phone (408) 579-6178
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.
-
dba Gardner Specialty Service Center
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1699841528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1700394020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E VIRGINIA ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125857",
"telephone_number": "408-287-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E VIRGINIA ST STE 280",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125817",
"telephone_number": "408-287-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIYANTO",
"first_name": "CINDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-22",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "130423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Pro Optics Eyewear Corp (Site For Sore Eyes)
- Proactive Care Partners of California PC
- Process Therapy Institute
- Brittany Prochnow
- Abigail Procopio Nieves
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.