Krysta A Banazek, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 43328 Issued in CA

Practice address

205 E 3Rd Ave
Suite 207a
San Mateo, CA 94401-4051

Phone

(650) 576-6764

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760592901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 3RD AVE",
            "address_2": "SUITE 207A",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014051",
            "telephone_number": "650-576-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 3RD AVE",
            "address_2": "SUITE 207A",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014051",
            "telephone_number": "650-576-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAZEK",
        "first_name": "KRYSTA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 43328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Baldassare, DO
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• Lois Shiow Balster, M.D.
• Darli S Baltazar-Lorenzo
• Dinah Jael Mateo Baluyot
• Daniel Steven Banchero
• Mario Salomon Bandes Jr.
• Lorita L. Bank, PH.D.
• Katherine Jean Banks, RN
• Yuqing Bao

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.