Marilyn Graham LMFT

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MFC52619 Issued in CA

Legal business name

MARILYN GRAHAM LMFT

Practice address

6489 Camden Ave
Ste. 103
San Jose, CA 95120-2849

Phone

(408) 458-0617

NPI assigned

Jul 2, 2015

Last updated

Jul 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn Graham, PH.D., LMFT

Title

Licensed Marriage Family Therapist

Phone

(408) 458-0617

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1710360177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41171",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951601171",
            "telephone_number": "408-458-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6489 CAMDEN AVE",
            "address_2": "STE. 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202849",
            "telephone_number": "408-458-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN GRAHAM LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "LICENSED MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "408-458-0617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "MFC52619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Mariano
• Camille Roldan Mariategue
• Marie Anson-Rebong
• Marie B Britz, M.D. a Medical Corporation
• Marietta Abalos-Galito, MD Inc
• Aida Marin Zamora
• Vanely Marin-Cendejas
• Ingrid M Marin, CADC I
• Michelle Balangue Marin
• Lindsey Marino

• Health Maintenance Organization in San Jose, CA
• Providers in San Jose, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.