Samuel Moglen, LMFT 102232

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

102232 Issued in CA

Practice address

1801 Vicente St
San Francisco, CA 94116-2923

Phone

(707) 579-0465

NPI assigned

Dec 3, 2008

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1821233982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SUNNYHILLS DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601909",
            "telephone_number": "415-456-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 VICENTE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162923",
            "telephone_number": "707-579-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Sunny Hills Services",
            "address_purpose": "LOCATION",
            "city": "San Anselmo",
            "state": "CA",
            "postal_code": "94960",
            "country_code": "US",
            "telephone_number": "415-526-8097 x194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGLEN",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "LMFT 102232",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Moffitt, CPNP
• McKenna Mogan, MSW
• Rami S Mogannam
• Claire Mogelvang, RD
• Kathryn Lucille Moghanian, LMFT
• Frederick Van Moh
• Andrew Mohama
• Mohamed I. Ali, DDS Inc
• Mohamed Ikbal Ali
• Awad Rifaat Mohamed, MD

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, 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 May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.