Active NPI
Mary Ann Tyson, PH.D., MFT
- Marriage & Family Therapist
- Palo Alto, CA
National Provider Identifier
1831671007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT6792
- Practice address
- 550 Hamilton Ave Ste 306
Palo Alto, CA 94301-2031 - Phone
- (650) 245-4473
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Marriage & Family Therapist | 106H00000X | MFT6792 | CA | Primary |
Addresses
Primary practice location
550 Hamilton Ave Ste 306
Palo Alto, CA 94301-2031
Mailing address
550 Hamilton Avenue
Suite # 306
Palo Alto, CA 94301-2031
Phone (650) 245-4473
Other names 1
- Dr. Mary Ann Westerhouse
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT6792 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1831671007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 HAMILTON AVENUE",
"address_2": "SUITE # 306",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012031",
"telephone_number": "650-245-4473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 HAMILTON AVE STE 306",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012031",
"telephone_number": "650-245-4473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "MARY ANN",
"name_prefix": "Dr.",
"credential": "PH.D., MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT6792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY ANN",
"last_name": "WESTERHOUSE",
"prefix": "DR.",
"credential": "PH.D, MFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.