NPIMap

Organization Active NPI

Arborvitae Individual, Marriage, and Family Therapy, Inc.

  • Adult Mental Health Clinic/Center
  • Menlo Park, CA
National Provider Identifier
1710652128
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ARBORVITAE INDIVIDUAL, MARRIAGE, AND FAMILY THERAPY, INC.
Practice address
2300 Tioga Dr
Menlo Park, CA 94025-6642
Phone
(408) 230-9023
NPI assigned
Aug 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Matthew Daniel Ahrens, CALIFORNIA LMFTNPI 1134052640
Title
President
Phone
(408) 230-9023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2300 Tioga Dr
Menlo Park, CA 94025-6642

Mailing address

PO Box 581
San Carlos, CA 94070-0581
Phone (408) 230-9023

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1710652128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940700581",
            "telephone_number": "408-230-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 TIOGA DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256642",
            "telephone_number": "408-230-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBORVITAE INDIVIDUAL, MARRIAGE, AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "AHRENS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-230-9023",
        "authorized_official_credential": "CALIFORNIA LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.