Shaylin Maddox, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 53242 Issued in CA

Practice address

15951 Los Gatos Blvd
Suite #14
Los Gatos, CA 95032-3428

Phone

(408) 933-8404

NPI assigned

Aug 19, 2013

Last updated

Aug 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shaylin Ebert Former name

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1891128401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ALBERTO WAY",
            "address_2": "SUITE #5",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325407",
            "telephone_number": "408-933-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD",
            "address_2": "SUITE #14",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323428",
            "telephone_number": "408-933-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "SHAYLIN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 53242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYLIN",
            "last_name": "EBERT",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maan Medical Corporation (Maan Plastic Surgery)
• Gregory Scott Macdonell, M.D.
• Kyle Macey, DPT
• Amelia Macleod
• Richard Joshua Maddox, M.A., PH.D.
• Maria Madero Pedroza, DPT
• Mayra M Magallon
• Danielle Magnin, DPT
• Richard Brian Mahan, PH.D.
• Jaisri Tomara Maharaj, M.D.

• Marriage & Family Therapist in Los Gatos, CA
• Providers in Los Gatos, 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 Aug 18, 2014; 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.