Goolrukh Adi Vakil, MA, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 47460 Issued in CA

Practice address

472 University Ave
Palo Alto, CA 94301-1812

Phone

(415) 845-8519

Fax

(650) 473-1744

NPI assigned

Jul 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1891994109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 UNIVERSITY AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94301",
            "telephone_number": "415-845-8519",
            "fax_number": "650-473-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 UNIVERSITY AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011812",
            "telephone_number": "415-845-8519",
            "fax_number": "650-473-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKIL",
        "first_name": "GOOLRUKH",
        "middle_name": "ADI",
        "name_prefix": "Ms.",
        "credential": "MA, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 47460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106H00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• VA Palo Alto Health Care System
• VA Palo Alto Health Care System
• VA Palo Alto Health Care System
• VA Palo Alto Healthcare System
• Ekaterina Vaisberg, MD
• Samantha Valcourt, RN, CNS
• Tulio Alberto Valdez Vargas, MD
• Richard Valencia, PH.D.
• Luisa Fernanda Valenzuela Riveros, MD
• Candace Mae Valenzuela, FNP

• Marriage & Family Therapist in Palo Alto, CA
• Providers in Palo Alto, 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 Jul 20, 2007; 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.