Individual provider Active NPI

Vickie Assunto, MFT

  • Marriage & Family Therapist
  • Capitola, CA
National Provider Identifier
1750508362
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC36577 Issued in CA
Practice address
720 Capitola Ave Ste a
Capitola, CA 95010-2784
Phone
(831) 427-8300
Fax
(831) 464-1557
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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 MFC36577 CA Primary

Addresses

Primary practice location

720 Capitola Ave Ste a
Capitola, CA 95010-2784

Mailing address

720 Capitola Ave Ste a
Capitola, CA 95010-2784
Phone (831) 427-3800

Other practice location 1

1663 Dominican Way Ste 214
Santa Cruz, CA 95065-1556
Phone (831) 464-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305001211 CA Practitioner - Marriage and Family Therapist 9638514250 Practice locations: Capitola, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

720 Capitola Ave
Suite a
Capitola, CA 95010-2784
Phone (831) 427-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC36577CAMDMarriage & Family Therapist
36577CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1750508362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CAPITOLA AVE STE A",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102784",
            "telephone_number": "831-427-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CAPITOLA AVE STE A",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102784",
            "telephone_number": "831-427-8300",
            "fax_number": "831-464-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1663 Dominican Way Ste 214",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651556",
            "country_code": "US",
            "telephone_number": "831-464-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASSUNTO",
        "first_name": "VICKIE",
        "name_prefix": "Prof.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

Verify at the official NPI Registry.