Individual provider Active NPI

Marianne Katariina Lapastora, PSYD

  • Clinical Psychologist
  • Cupertino, CA
National Provider Identifier
1710496468
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35201 Issued in CA
Practice address
21701 Stevens Creek Blvd Unit 2914
Cupertino, CA 95015-3418
Phone
(540) 270-8649
Fax
(540) 270-8649
NPI assigned
Sep 26, 2017
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35201 CA Primary
School Psychologist 103TS0200X 4315 CA

Addresses

Primary practice location

21701 Stevens Creek Blvd Unit 2914
Cupertino, CA 95015-3418

Mailing address

21701 Stevens Creek Blvd # 2914
Cupertino, CA 95014-1119
Phone (628) 400-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4315CAMDSchool Psychologist
35201CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Divergent Psychological Inc. Clinical CurrentSince Nov 24, 2025 Accepting new patients

Locations

21701 Stevens Creek Blvd
Unit 2914
Cupertino, CA 95015
Phone (540) 270-8649

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1710496468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21701 STEVENS CREEK BLVD # 2914",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141119",
            "telephone_number": "628-400-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 STEVENS CREEK BLVD UNIT 2914",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950153418",
            "telephone_number": "540-270-8649",
            "fax_number": "540-270-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPASTORA",
        "first_name": "MARIANNE",
        "middle_name": "KATARIINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "35201",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "4315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.