Individual provider Active NPI

Shammy Mary Pius, MFT

  • Mental Health Counselor
  • Turlock, CA
National Provider Identifier
1710025903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC38781 Issued in CA
Practice address
2101 Geer Rd
Ste 102a
Turlock, CA 95382-2454
Phone
(209) 604-1881
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC38781 CA Primary

Addresses

Primary practice location

2101 Geer Rd
Ste 102a
Turlock, CA 95382-2454

Mailing address

2101 Geer Rd
Ste 102a
Turlock, CA 95382-2454
Phone (209) 604-1881

Other names 1

  • Ms. Shammy Mary Devito Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 30, 2024 through Jan 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC38781CAMDMental Health Counselor
32320CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710025903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 GEER RD",
            "address_2": "STE 102A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822454",
            "telephone_number": "209-604-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GEER RD",
            "address_2": "STE 102A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822454",
            "telephone_number": "209-604-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIUS",
        "first_name": "SHAMMY",
        "middle_name": "MARY",
        "name_prefix": "Miss",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC38781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMMY",
            "last_name": "DEVITO",
            "middle_name": "MARY",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.