Tiffany Star Engeldinger, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51636 Issued in CA

Practice address

5820 Stoneridge Mall Rd Ste 201
Pleasanton, CA 94588-3200

Phone

(925) 998-3829

Fax

(925) 361-0288

NPI assigned

Feb 21, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1881863173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 201",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883200",
            "telephone_number": "925-998-3829",
            "fax_number": "925-361-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 201",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883200",
            "telephone_number": "925-998-3829",
            "fax_number": "925-361-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELDINGER",
        "first_name": "TIFFANY",
        "middle_name": "STAR",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Pleasanton, CA
• Providers in Pleasanton, 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 Nov 4, 2019; 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.