Organization Active NPI

Dee Ann Marx-Kelly

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1790978450
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT30728 Issued in CA
Legal business name
DEE ANN MARX-KELLY
Practice address
1032 W Hedding St
San Jose, CA 95126-1217
Phone
(408) 246-3525
Fax
(408) 246-1050
NPI assigned
Aug 24, 2007
Last updated
Aug 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Ms. Dee Ann Marx-Kelly, LMFTNPI 1386787968
Title
Therapist/Owner
Phone
(408) 246-3525

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 Therapist 106H00000X MFT30728 CA Primary

Addresses

Primary practice location

1032 W Hedding St
San Jose, CA 95126-1217

Mailing address

1032 W Hedding St
San Jose, CA 95126-1217
Phone (408) 246-3525

Other identifiers 1

IdentifierTypeStateIssuer
1386787968OtherNPI 1

National Provider Directory

National Provider Directory

Locations

1032 W Hedding St
San Jose, CA 95126
Phone (408) 246-3525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1790978450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 W HEDDING ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261217",
            "telephone_number": "408-246-3525",
            "fax_number": "408-246-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 W HEDDING ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261217",
            "telephone_number": "408-246-3525",
            "fax_number": "408-246-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEE ANN MARX-KELLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "MARX-KELLY",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "408-246-3525",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT30728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1386787968",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.