Individual provider Active NPI

Roslyn Chaplin, MFTI, LMHC

  • Marriage & Family Therapist
  • San Carlos, CA
National Provider Identifier
1891003703
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFTI64019 Issued in CA
Practice address
610 Elm St
San Carlos, CA 94070-8401
Phone
(650) 366-8436
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH10187 FL
Marriage & Family Therapist 106H00000X MFTI64019 CA Primary

Addresses

Primary practice location

610 Elm St
San Carlos, CA 94070-8401

Mailing address

900 Oneill St
Belmont, CA 94002-3840
Phone (561) 866-0308

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
MH10187FLMDMental Health Counselor
MFTI64019CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1891003703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ONEILL ST",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023840",
            "telephone_number": "561-866-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 ELM ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940708401",
            "telephone_number": "650-366-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPLIN",
        "first_name": "ROSLYN",
        "name_prefix": "Ms.",
        "credential": "MFTI, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10187",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFTI64019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.