Active NPI
Saniyyah Shaleece Mayo
- Marriage & Family Therapist
- Upland, CA
National Provider Identifier
1780153692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 103963
- Practice address
- 219 N Euclid Ave Ste B
Upland, CA 91786-6038 - Phone
- (909) 660-3624
- NPI assigned
- Nov 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 103963 | CA | Primary |
Addresses
Primary practice location
219 N Euclid Ave Ste B
Upland, CA 91786-6038
Mailing address
12223 Highland Ave # 106-580
Rancho Cucamonga, CA 91739-2574
Phone (909) 660-3624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103963 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Girls Gossip and Women Network LLC | Single Specialty | Current | Accepting new patients |
| Simple Solutions Family Therapy | Marriage & Family Therapist | Current | Accepting new patients |
| Rise to Grind Foundation | Current | Accepting new patients |
Locations
8350 Archibald Ave
Ste 110
Rancho Cucamonga, CA 91730
Phone (909) 244-9311
12223 Highland Ave
Rch Cucamonga, CA 91739
Phone (404) 932-7220
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Rancho Cucamonga, CA
- NPI 1457818437
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rancho Cucamonga, CA
- NPI 1508599705
-
- Marriage & Family Therapist
- Rancho Cucamonga, CA
- NPI 1497379267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1780153692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12223 HIGHLAND AVE # 106-580",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917392574",
"telephone_number": "909-660-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N EUCLID AVE STE B",
"city": "UPLAND",
"state": "CA",
"postal_code": "917866038",
"telephone_number": "909-660-3624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYO",
"first_name": "SANIYYAH",
"middle_name": "SHALEECE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "103963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.