Individual provider Active NPI

Ornit Shoham, MFT

  • Marriage & Family Therapist
  • San Mateo, CA
National Provider Identifier
1922417435
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
94719 Issued in CA
Practice address
1117 S B St Ste 4
San Mateo, CA 94401-4351
Phone
(650) 312-5395
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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 94719 CA Primary

Addresses

Primary practice location

1117 S B St Ste 4
San Mateo, CA 94401-4351

Mailing address

1117 S B St Ste 4
San Mateo, CA 94401-4351
Phone (650) 395-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815002534 CA Practitioner - Marriage and Family Therapist 1557809092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1117 S B St
Suite 4
San Mateo, CA 94401-4351
Phone (650) 395-7121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoham Family Therapy, Inc. Marriage & Family Therapist CurrentSince Sep 3, 2025 Accepting new patients

Locations

1117 S B St
Ste 4
San Mateo, CA 94401
Phone (510) 541-4837

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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1922417435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S B ST STE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014351",
            "telephone_number": "650-395-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S B ST STE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014351",
            "telephone_number": "650-312-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOHAM",
        "first_name": "ORNIT",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.