Individual provider Active NPI

Tamar Schilgi Mamou, MA

  • Marriage & Family Therapist
  • Sunnyvale, CA
National Provider Identifier
1730438532
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107120 Issued in CA
Practice address
1309 S Mary Ave Ste 208
Sunnyvale, CA 94087-3060
Phone
(408) 209-4933
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 107120 CA Primary

Addresses

Primary practice location

1309 S Mary Ave Ste 208
Sunnyvale, CA 94087-3060

Mailing address

1309 S Mary Ave Ste 208
Sunnyvale, CA 94087-3060
Phone (408) 209-4933

Other practice location 1

1101 S Winchester Blvd Ste 162
San Jose, CA 95128
Phone (408) 209-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 17, 2024 through Jul 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
107120CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1730438532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 S MARY AVE STE 208",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873060",
            "telephone_number": "408-209-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S MARY AVE STE 208",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873060",
            "telephone_number": "408-209-4933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 S Winchester Blvd Ste 162",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95128",
            "country_code": "US",
            "telephone_number": "408-209-4933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHILGI MAMOU",
        "first_name": "TAMAR",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.