Organization Active NPI

Daniel Davis Licensed Marriage and Family Therapist a Professional Cor

  • Marriage & Family Therapist
  • Santa Clara, CA
National Provider Identifier
1831634526
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT35938 Issued in CA
Legal business name
DANIEL DAVIS LICENSED MARRIAGE AND FAMILY THERAPIST A PROFESSIONAL COR
Practice address
1588 Homestead Road
Suite G
Santa Clara, CA 95050-4783
Phone
(408) 249-0014
Fax
(408) 249-0018
NPI assigned
Jan 4, 2017
Last updated
Jan 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Mr. Daniel Robert Davis, LMFT
Title
President
Phone
(408) 249-0014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT35938 CA Primary

Addresses

Primary practice location

1588 Homestead Road
Suite G
Santa Clara, CA 95050-4783

Mailing address

1588 Homestead Rd
Mailbox 1
Santa Clara, CA 95050-4783
Phone (408) 249-0014

National Provider Directory

National Provider Directory

Locations

1588 Homestead Rd
Ste 1
Santa Clara, CA 95050
Phone (408) 249-0014

1588 Homestead Rd
Ste G
Santa Clara, CA 95050
Phone (408) 249-0014

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": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1831634526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 HOMESTEAD RD",
            "address_2": "MAILBOX 1",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504783",
            "telephone_number": "408-249-0014",
            "fax_number": "408-249-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 HOMESTEAD ROAD",
            "address_2": "SUITE G",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504783",
            "telephone_number": "408-249-0014",
            "fax_number": "408-249-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL DAVIS LICENSED MARRIAGE AND FAMILY THERAPIST A PROFESSIONAL COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-249-0014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT35938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.