Janice Kay McCullough, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

93687 Issued in CA

Practice address

1000 Fremont Ave
Suite 152
Los Altos, CA 94024-6093

Phone

(650) 397-1032

NPI assigned

Aug 31, 2016

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

Other names 1

• Janice Kay Dolence Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1760938427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1434",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940231434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE",
            "address_2": "SUITE 152",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246093",
            "telephone_number": "650-397-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "JANICE",
        "middle_name": "KAY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "DOLENCE",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Parman D O P C (Delfina Medical Group of California)
• Eric Seiji Matsumoto, M.D.
• Aimee Le-Huynh McArthur, DO
• John Bruce McBirney, D.D.S.
• Michelle Nguyen-Hien McCormick
• Amy Kathleen McDonnell Travers, M.S., CCC-SLP
• John Patrick McFarlane, DMD
• Karen McGann, MD
• Robert J McIntyre, PH.D.
• Kelsey McLaurin

• Marriage & Family Therapist in Los Altos, CA
• Providers in Los Altos, 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 Aug 31, 2016; 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.