Individual provider Active NPI

Nanette A Freedland, MFT

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1710910856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC28411 Issued in CA
Practice address
900 N San Antonio Rd
Suite 206
Los Altos, CA 94022-1373
Phone
(650) 947-4044
Fax
(650) 964-9317
NPI assigned
Jul 9, 2006
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
Marriage & Family Therapist 106H00000X MFC28411 CA Primary

Addresses

Primary practice location

900 N San Antonio Rd
Suite 206
Los Altos, CA 94022-1373

Mailing address

1010 Madison Dr
Mountain View, CA 94040-4028
Phone (650) 947-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 7, 2024 through Nov 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC28411CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710910856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MADISON DR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404028",
            "telephone_number": "650-947-4044",
            "fax_number": "650-964-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SAN ANTONIO RD",
            "address_2": "SUITE 206",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221373",
            "telephone_number": "650-947-4044",
            "fax_number": "650-964-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDLAND",
        "first_name": "NANETTE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.