Individual provider Active NPI

Serena Kamdar Mazzola, PSYD

  • Marriage & Family Therapist
  • San Ramon, CA
National Provider Identifier
1871723965
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142485 Issued in CA
Practice address
2817 Crow Canyon Rd Ste 205
San Ramon, CA 94583-1639
Phone
(925) 360-0475
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 142485 CA Primary

Addresses

Primary practice location

2817 Crow Canyon Rd Ste 205
San Ramon, CA 94583-1639

Mailing address

4155 Blackhawk Plaza Cir Ste 101
Danville, CA 94506-4829
Phone (925) 683-4884

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serena Kamdar Mazzola Professional Psychology Corporation Psychologist CurrentSince Dec 24, 2023 Accepting new patients

Locations

4155 Blackhawk Plaza Cir
Ste 101
Danville, CA 94506
Phone (925) 551-1934

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1871723965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 BLACKHAWK PLAZA CIR STE 101",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064829",
            "telephone_number": "925-683-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 CROW CANYON RD STE 205",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831639",
            "telephone_number": "925-360-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "SERENA",
        "middle_name": "KAMDAR",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.