Individual provider Active NPI

Anuja Patel, PSY.D.

  • Psychologist
  • San Jose, CA
National Provider Identifier
1841643038
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY32020 Issued in CA
Practice address
111 N Market St Ste 300
San Jose, CA 95113-1116
Phone
(408) 825-4527
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY32020 CA Primary
Clinical Psychologist 103TC0700X PSY32020 CA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

111 N Market St Ste 300
San Jose, CA 95113-1116

Mailing address

111 N Market St Ste 300
San Jose, CA 95113-1116
Phone (408) 825-4527

Other practice location 1

1101 S Winchester Blvd Ste J205
San Jose, CA 95128-3918
Phone (408) 825-4527

Other practice location 2

825 San Antonio Rd Ste 102
Palo Alto, CA 94303-4620
Phone (408) 825-4527

Other practice location 3

2400 Moorpark Ave
Ste 300
San Jose, CA 95128-2631
Phone (408) 975-2730

Other practice location 4

2400 Moorpark Ave
Ste 300
San Jose, CA 95128-2631
Phone (408) 975-2730

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

LicenseStateTypeSpecialty
PSY32020CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1841643038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MARKET ST STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131116",
            "telephone_number": "408-825-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MARKET ST STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131116",
            "telephone_number": "408-825-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 S Winchester Blvd Ste J205",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951283918",
            "country_code": "US",
            "telephone_number": "408-825-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 San Antonio Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943034620",
            "country_code": "US",
            "telephone_number": "408-825-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Moorpark Ave",
            "address_2": "STE 300",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282631",
            "country_code": "US",
            "telephone_number": "408-975-2730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Moorpark Ave",
            "address_2": "STE 300",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282631",
            "country_code": "US",
            "telephone_number": "408-975-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANUJA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY32020",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32020",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 24, 2022; 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.