Individual provider Active NPI

Irit Ester Broner

  • Marriage & Family Therapist
  • Palo Alto, CA
National Provider Identifier
1891361085
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT117719 Issued in CA
Practice address
220 California Ave Ste 105
Palo Alto, CA 94306-1627
Phone
(650) 319-7225
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 AMFT117719 CA Primary

Addresses

Primary practice location

220 California Ave Ste 105
Palo Alto, CA 94306-1627

Mailing address

PO Box 2214
Sunnyvale, CA 94087-0214
Phone (209) 803-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 15, 2024 through Feb 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT117719CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunol Hills LLC Marriage & Family Therapist PastSince Jul 1, 2022 Accepting new patients

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1891361085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2214",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940870214",
            "telephone_number": "209-803-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA AVE STE 105",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061627",
            "telephone_number": "650-319-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONER",
        "first_name": "IRIT",
        "middle_name": "ESTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT117719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.