Organization Active NPI

Shoham Family Therapy, Inc.

  • Marriage & Family Therapist
  • San Mateo, CA
National Provider Identifier
1750239182
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SHOHAM FAMILY THERAPY, INC.
Practice address
1117 S B St Ste 4
San Mateo, CA 94401-4351
Phone
(650) 395-7121
NPI assigned
Mar 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Ornit R Shoham, LMFTNPI 1922417435
Title
Owner
Phone
(650) 395-7121

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 1

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

Addresses

Primary practice location

1117 S B St Ste 4
San Mateo, CA 94401-4351

Mailing address

1117 S B St Ste 4
San Mateo, CA 94401-4351
Phone (650) 395-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260522002882 CA Part B Supplier - Clinic/Group Practice 3072083708 Receives reassigned benefits from 1 practitioner
Practice locations: San Mateo, CA

National Provider Directory

National Provider Directory

Locations

1117 S B St
Ste 4
San Mateo, CA 94401
Phone (510) 541-4837

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": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1750239182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S B ST STE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014351",
            "telephone_number": "650-395-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S B ST STE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014351",
            "telephone_number": "650-395-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOHAM FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "SHOHAM",
        "authorized_official_first_name": "ORNIT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-395-7121",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.